Summary:

Under the direction of the Financial Counselor Supervisor and Manager a Financial Counselor will provide services to uninsured and underinsured patients in assigned inpatient and outpatient settings. These services include walking patients through state-wide insurance and grant program options, certified assitance in application process, and insurance benefit and selfpay balance education.

Job Responsibilities:

1) Secures sponsorship for uninsured and underinsured patients by screening patients for eligibility for a variety of grant and/or government sponsored programs, identifying and counseling Medicare patients without secondary insurance, assisting with applications for supplemental coverage, and ensuring all billing information has been obtained for liability cases and newborn coverage.

2) Assists patients in completing MassHealth, DDU, and BHS Financial Assistance applications and helps approved patients in selecting a plan and denied patients in redetermination efforts.Tracks status of initiated applications to facilitate and expedite the approval process.

3) Corrects/updates patient and guarantor demographic, financial, and insurance information in appropriate systems. Ensures that all data collected fulfills requirements for claim submission to third parties. Thoroughly documents significant account activity appropriately.

4) Maintains knowledge of current resources available to the uninsured and underinsured making appropriate referrals as necessary.

5) Collaborates with case managers, social workers, and nursing units on various eligibility requirements and patient benefits to obtain the most comprehensive coverage and sponsorship possible..

6) Maintains knowledge of payer guidelines pertaining to benefit, eligibility, and authorization information by use of web portals and carrier communications.

7) Correct/update patient and guarantor demographic, financial and insurance information in appropriate systems. Ensure that all data collected fulfills requirements for claim submission to third parties. Document significant account activity appropriately.

8) Meets all productivity standards for the position. Maintains an account accuracy average rate of >/= 97%..

9) Demonstrates understanding and skilled use of necessary computer programs.

10) Review and respond to patient billing questions, receive and correctly apply payments to patient accounts in HP24, complete daily cashier functions and prepare deposits as needed and/or as assigned BFMC ONLY

11) BMLH and BNH ONLY: Cross-trained to grade 42 registration responsibilities.

12) BNH ONLY: Registers and/or pre-registers patients both in person and via telephone.

Required Work Experience:

1) Customer service or equivalent

Preferred Work Experience:

1) Healthcare Accounts Receivable or equivalent Billingual (English/Spanish)

Skills and Competencies:

1) Microsoft Office Suite Skills

You Belong At Baystate

At Baystate Health we know that treating one another with dignity and equity is what elevates respect for our patients and staff. It makes us not just an organization, but also a community where you belong. It is how we advance the care and enhance the lives of all people.

DIVERSE TEAMS. DIVERSE PATIENTS. DIVERSE LOCATIONS.

Education:

Associates of Science, GED or HiSET (Required)

Certifications:

Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.

Ab out Baystate Health

Baystate Health (BH) is one of New England’s leading and largest integrated health care organizations, serving a population of nearly one million people throughout western New England. With roots dating back to the founding of Springfield City Hospital in 1873, Baystate Health has been providing high-quality and compassionate health care in western Massachusetts for more than 145 years. With more than 12,000 employees, a medical staff of nearly 3,100 physicians, and a net patient service revenue of more than $1.4 billion, the ever-growing health system includes five Massachusetts hospitals and the Baystate Mary Lane Outpatient Center in Ware:

• Baystate Medical Center in Springfield

• Baystate Children’s Hospital (located at Baystate Medical Center)

• Baystate Franklin Medical Center in Greenfield

• Baystate Wing Hospital in Palmer

• Baystate Noble Hospital in Westfield