Patient Financial Coordinator/Certified App Counselor

Area of Interest: Patient Services; Department: Financial Clearance

About the role

As a Patient Financial Counselor, you will serve as a trusted resource for patients by helping them understand their financial responsibilities and available coverage options. In this role, you will assess financial and insurance information, assist with enrollment in Medicaid, Marketplace, and other assistance programs, and provide guidance on payment solutions. Working collaboratively with patients, providers, and internal teams, you will help resolve complex financial situations while ensuring patients have access to the resources they need to receive care.

Responsibilities

• Counsel patients on insurance coverage, financial assistance programs, and payment options to help reduce financial barriers to care
• Assess financial and insurance information to determine eligibility for Medicaid, ACA Marketplace plans, and other assistance programs
• Complete and submit Medicaid, Marketplace, and financial assistance applications accurately and in a timely manner
• Monitor and manage assigned self-pay accounts, work queues, and follow-up activities to ensure account resolution
• Coordinate with government agencies, community resources, case managers, and internal departments regarding application status and patient support needs
• Educate patients, physicians, and staff on insurance benefits, coverage options, deductibles, out-of-pocket costs, and available subsidies
• Calculate estimated patient financial responsibility, communicate liabilities, and explain billing, collection, and payment policies
• Maintain accurate documentation, update patient insurance information in Epic, track account outcomes, and ensure compliance with all regulatory and certification requirements

Qualifications

• Education: High school graduate or GED equivalent is required.
• Experience: One year previous experience in Patient Access or Billing required with demonstrated competency working with third party payers to meet notification and pre-cert requirements.
• Knowledge of third party payer processes and billing procedures required.
• Must have experience using computer based software including word, excel and access data bases, minimum typing of 40 wpm.
• Accurate data entry with numbers, letters and the ability to spell medical terms correctly is required.
• Previous customer service is desired, but all staff members must have the ability to work with all age groups in a professional and positive manner.
• Licenses/Certifications: Obtains MarketPlace certification within 6 months of employment and maintains this certification while in the position.
• Obtains Medicaid Presumptive certification with 3 months of employment and maintains this certification while in this position.

Benefits

• Paid time off, parental leave, 401K matching and an employee recognition program.
• Dental and health insurance, paid holidays, short and long-term disability and more.
• Pet insurance for your four-legged family members.
• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.
• Culture of belonging where everyone feels valued and respected.
• Support and development opportunities to deliver an exceptional employment experience.

Schedule