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Metro Health Financial Counselor in Grand Rapids, Michigan

Metro Health (now the University of Michigan Health-West) is looking for Financial Counselor  - Patient Financial Experience * Days - 40hrs/wk.

The financial counselor is responsible for the screening of uninsured and/or underinsured patients to identify and initiate the process for financial assistance and is responsible for helping to secure payment for the organization.

Requirements:

  • High School Diploma or equivalent required.
  • College education (preferred) or 2-3 years of prior experience working in a healthcare setting.
  • Fair Debt Collection Practices Act knowledge preferred.
  • Medical Terminology preferred.
  • CPT-4 and ICD-10 knowledge preferred.

Essential Functions and Responsibilities:

  1. Screens patients/guarantor for financial assistance for uninsured and/or underinsured patients. Screening may be conducted during in-person consultations, by visiting patient rooms on the floors during admission, and over the phone.
  2. Coordinates with the Hospital MDHHS worker on the screening of patients for Medicaid. Assists patient/guarantor or family with Medicaid application as needed.
  3. Evaluates qualification and completion of financial assistance application. Processes and approves/denies patient financial assistance applications in accordance to established processes.
  4. Investigates and makes recommendations on complex cases to help secure third-party funding sources including, but not limited to, Medicaid, Medicare, no-fault/auto, workers' compensation, COBRA, crime victims, liability, marketplace plans, and grants.
  5. Maintains a working knowledge of Federal, State, and local laws and regulations that impact areas of responsibility.
  6. Monitors and tracks Medicare; meets with patient or family regarding Lifetime Reserve days and their Medicare benefits as needed.
  7. Works closely with Case Management, clinical staff at clinics, and outside organizations on the resolution of financial barriers for care and to provide education on programs available to patients.
  8. Provides in-person and over phone consultation; assists as a liaison for billing and collection questions as needed, including helping patients set up payment plans.
  9. Assists with cashier tasks including, but not limited to, deposits for the organization, change orders, printing year-end documentation and UB-04 forms for patients, office mail distribution, and collecting patient co-pays, deductibles, and any outstanding balance accounts.
  10. Completes Epic work queues daily.
  11. Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.
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