Outpatient Financial Counselor - Boston Medical Center
Boston, MA 02118
About the Job
Position: Outpatient Financial Counselor
Department: Financial Counseling
Schedule: Full Time
POSITION SUMMARY:
Under the general direction of PFC Manager, the Outpatient Financial Counselor (OPFC) has a dual role to help vulnerable BMC patients to access healthcare coverage and to preserve and protect BMC revenue by securing payors to reduce uncompensated care. The OPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for financial assistance programs and secure healthcare coverage. As a Certified Application Counselor, the OPFC will assist patients referred for financial counseling, in person or by phone, from PFC office locations on the hospital campus. Patients presenting for services, by appointment or walk-in, will be screened for eligibility and offered enrollment assistance to secure insurance coverage through MassHealth, Out of State Medicaid, HSN, or BMC's Charity Care Program. The OPFC is responsible for initiating new applications and assisting with program renewals; for educating patients about health insurance options and eligibility requirements; and for updating patient demographic information, opening financial trackers, and documenting all efforts made to assist patients in applying for insurance coverage. The OPFC will embody BMC's mission, vision, and values and follow policy and procedure regarding BMC's billing and collection practices and the Certified Application Counselor Designation Agreement between BMC and MassHealth.
JOB REQUIREMENTS
EDUCATION:
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
EXPERIENCE:
KNOWLEDGE AND SKILLS:
Req id: 29145
Department: Financial Counseling
Schedule: Full Time
POSITION SUMMARY:
Under the general direction of PFC Manager, the Outpatient Financial Counselor (OPFC) has a dual role to help vulnerable BMC patients to access healthcare coverage and to preserve and protect BMC revenue by securing payors to reduce uncompensated care. The OPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for financial assistance programs and secure healthcare coverage. As a Certified Application Counselor, the OPFC will assist patients referred for financial counseling, in person or by phone, from PFC office locations on the hospital campus. Patients presenting for services, by appointment or walk-in, will be screened for eligibility and offered enrollment assistance to secure insurance coverage through MassHealth, Out of State Medicaid, HSN, or BMC's Charity Care Program. The OPFC is responsible for initiating new applications and assisting with program renewals; for educating patients about health insurance options and eligibility requirements; and for updating patient demographic information, opening financial trackers, and documenting all efforts made to assist patients in applying for insurance coverage. The OPFC will embody BMC's mission, vision, and values and follow policy and procedure regarding BMC's billing and collection practices and the Certified Application Counselor Designation Agreement between BMC and MassHealth.
JOB REQUIREMENTS
EDUCATION:
- High School diploma or equivalent with 3-5 years of strong customer service experience in healthcare or human services setting required.
- Bachelor's degree preferred.
- Bilingual candidates and those with hospital and/or healthcare experience 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 experience to include 2-3 years of strong customer service experience, preferably in a healthcare or human services setting.
- Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.
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.
- Displays exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity. IND123
Req id: 29145
Source : Boston Medical Center
