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Patient Financial Counselor

3 months ago

Milwaukee, United States Pride Health Full time

Patient Financial Counselor



Pride Health is hiring a Patient Financial Counselor for one of its clients in Wisconsin

.This is a 6-month contract with a possible hiring with competitive pay and benefits


.
Job Title: Patient Financial Counsel

orPay range:$20 - $25 per hour (Depending upon relevant experienc

e)Location: Remot

e Duration: 3+ months (Temp to Hire

) Shift: Monday – Friday (8:30 am - 5:00 pm) OR 7/70 Monday – Sunday (7:00 am - 5:30 p


m)
The candidates must be based in the following states

– Arizona, Arkansas, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Louisiana, Maryland, Michigan, Minnesota, Missouri, and New York, North Carolina, Ohio. Pennsylvania, South Carolina, Tennessee, Texas, Utah, and Wisconsi


n.
Job Summ

ary To assess patient financial needs, assist patients, and collect deposits according to the Client’s Hospital Billing and Collection Policy professionally and courteously. To screen patients and assist with applications for applicable governmental programs, the health insurance exchange, and/or the Client’s Health financial assistance program. To stress customer service and positive interpersonal relations while working closely with Admitting/Registration, Preauthorization, Care Management, and appropriate department personnel in Patient Financial Services and MCW Clinical Practice Services in addressing financial responsibili


ties
Job D

  • utiesFor patients who are identified as self-paid, claim financial hardship, or the inability to pay, initiate timely account resolution activities to address the issue while attempting to allow elective patient care to proceed as sched
  • uled.Monitors applicable Financial Counselor work queues to ensure that all initial patient financial activities have been completed, and that account balances that have not been previously secured through insurance verification or other confirmed subsidy sources are addressed promptly. Reviews Financial Counselor work queues on an ongoing basis to ensure payment source has been secured for all discharged self-pay patients when applic
  • able.Updates the patient accounting system as activities have been completed and as patient account problems and issues have been addressed, by Patient Financial Services policies/proced
  • ures.Counsel patients to guide them through the application and eligibility process with Medicaid offices, Victims of Crime, Insurance Exchange, and other resources available to patients to cover Client’s Health serv
  • ices.Assists patients with the Financial Assistance application process according to the protocols outlined in the Client’s Health, Community Physicians, and Medical College of Wisconsin Financial Assistance poli
  • cies.Based on the patient's ability to pay and the urgency of medical need, collect patient deposits after estimating the approximate costs of the anticipated care. Calculates, provides, and updates estimates upon necessity to various staff and pati
  • ents.Calculates, provides, and updates estimates upon request to various staff, patients, and other potential custo
  • mers.Communicate with Social Services, Case Management, Admitting/Registration, appropriate department personnel, and the physician as applicable to discuss those patient financial problems that cannot be resolved to determine the alternatives to the elective patient care
  • plan.Enforces hospital patient accounting and compliance processes by confirming that required documents have been completed, insurance (re) verification has been performed, and pre-certifications/re-certifications have been obta
  • ined.Cross-trains and provides backup coverage for all Financial Counselor positions as determined by the Team Coordinator or Patient Financial Services Manager to ensure adequate Financial Counselor coverage for all areas within the department. This includes shifts extending into the PM shift and weekend or holiday cove
  • rage.Assist patients during the open enrollment period to apply for a Qualified Health Plan (QHP) and/or Insurance Affordability Prog
  • rams.Adhere to document storage & destruction policies/proced
  • ures.Adhere to all state and federal regulations along with the Client’s policies/procedures about the Certified Application Counselor's responsibili
  • ties.Stay current on all regulatory updates and policy/procedure changes about Certified Application Counselors at Cli


ents.
Education, Experience, and Sk

  • ills: A High School diploma or equivalent is req
  • uired.Bachelor's degree in social work, case management, healthcare administration, business administration, or another related field is pref
  • erred.Candidate needs to have at least 3 years of experience in a leadership type of role like team lead, team coordinator
  • , etc.Candidates need to have workflow exp of Insurance follow-up (like the backend of insurance follow-up) along with the leade
  • rship.Prior experience with Epic PB or Epic HB is pref
  • erred.Candidate should be an EFFECTIVE COMMUNI
  • CATOR State of Wisconsin and Federal Certified Application Counselor Designation is required or must be obtained within 12 months after


hire.
Pride Global offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred ve


ndors.
As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characte


ristics.