Inpatient Financial Counselor Rotating-Monthly W T F 11a-11:30p; M T W 11a-11:30p U - Boston Medical Center
Boston, MA 02118
About the Job
Position: Inpatient Financial Counselor
Department: Financial Counseling
Schedule: Full Time, Rotating/Monthly W,T,F 11a-11:30p; M,T,W 11a-11:30p U
POSITION SUMMARY:
Under the general direction of PFC Manager, the Inpatient Financial Counselor (IPFC) has a dual role to help vulnerable BMC patients with access to healthcare coverage and preserve and protect BMC revenue by securing payors to reduce uncompensated care. The IPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for health insurance programs to cover hospital expenses and/or access post-acute care services as needed to maintain health and well-being. As a Certified Application Counselor, the IPFC will screen patients, assess needs, and determine a plan to help patients secure insurance coverage, including but not limited to MassHealth, Out of State Medicaid, HSN, Qualified Health Plans, and the hospital's Charity Care Program The IPFC serves as a resource for Case Management by assisting patients in securing insurance coverage, often required to support the coordination of discharge planning and access to needed post-acute services, maintenance medications, and/or continued primary and specialty care follow-up. Moreover, the IPFC plays a major role as a multi-disciplinary partner in helping address and resolve discharge barriers for complex patient cases. The IPFC's responsibilities are subject to modification as best practices are identified and developed to best support both patients and the organization. The IPFC role requires a highly adaptive individual, who demonstrates compassion and empathy, and possesses creativity and innovative thinking for problem solving.
JOB REQUIREMENTS
EDUCATION:
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
EXPERIENCE:
KNOWLEDGE AND SKILLS:
Req id: 28850
Department: Financial Counseling
Schedule: Full Time, Rotating/Monthly W,T,F 11a-11:30p; M,T,W 11a-11:30p U
POSITION SUMMARY:
Under the general direction of PFC Manager, the Inpatient Financial Counselor (IPFC) has a dual role to help vulnerable BMC patients with access to healthcare coverage and preserve and protect BMC revenue by securing payors to reduce uncompensated care. The IPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for health insurance programs to cover hospital expenses and/or access post-acute care services as needed to maintain health and well-being. As a Certified Application Counselor, the IPFC will screen patients, assess needs, and determine a plan to help patients secure insurance coverage, including but not limited to MassHealth, Out of State Medicaid, HSN, Qualified Health Plans, and the hospital's Charity Care Program The IPFC serves as a resource for Case Management by assisting patients in securing insurance coverage, often required to support the coordination of discharge planning and access to needed post-acute services, maintenance medications, and/or continued primary and specialty care follow-up. Moreover, the IPFC plays a major role as a multi-disciplinary partner in helping address and resolve discharge barriers for complex patient cases. The IPFC's responsibilities are subject to modification as best practices are identified and developed to best support both patients and the organization. The IPFC role requires a highly adaptive individual, who demonstrates compassion and empathy, and possesses creativity and innovative thinking for problem solving.
JOB REQUIREMENTS
EDUCATION:
- Bachelor's Degree required, preferably in fields related to social work, healthcare, or human services. Requires knowledge of accounting, finance, and healthcare business. Able to prepare clear and comprehensive oral and written communications. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
- Must complete MassHealth's curriculum for Certified Application Counselor, (CAC) and maintain certification renewal annually. Individual must complete training and obtain CAC certification within 45 days of hire date.
EXPERIENCE:
- Work requires knowledge of general healthcare business/payer policies, procedures, systems and equipment relating to inpatient population. Also preferred experience with application assistance, billing and collection; of regulations and guidelines pertaining to third-party payers and self-payers; of computer software spreadsheet programs; and of performance management at a level generally acquired through two to four years' experience.
KNOWLEDGE AND SKILLS:
- Demonstrates professionalism, maturity, and confidence needed to work effectively in a diverse, multi-cultural, and decentralized environment.
- Displays strong, consistent communication skills, (oral and written), interpersonal skill, and record keeping skills.
- Demonstrates knowledge and understanding of eligibility criteria and application process for programs offered through MassHealth, Health Safety Net, ConnectorCare, and BMC's Charity Care Program.
- Displays strong organizational skills with ability to manage multiple tasks simultaneously; prioritize work assignments appropriately; and complete follow up task timely.
- Demonstrates strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision.
- Demonstrates critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified.
- Requires strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and successfully assist patients in securing active coverage.
- Knowledge of software applications such as Microsoft Excel and Word.
- Ability to interpret and record data and understand basic medical terminology.
- Displays exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity. IND123
Req id: 28850
Source : Boston Medical Center