Patient Financial Counselor

2 months ago

Boston, United States Brigham and Women's Hospital Full time

Job Description - Patient Financial Counselor (3284866) Patient Financial Counselor

-

(

3284866

) General Summary/ Overview Statement: The Patient Business Representative (PBR) is a great opportunity for a new graduate. The PBR functions as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for the purpose of determining eligibility for government and pharmacy financial assistance programs.The Patient Business Representative (PBR) will serve as the primary practice contact when patients require assistance with various billing/financial related issues, which cannot otherwise be resolved by the Practice Service Representative. The PBR will have a strong working knowledge of all aspects of the billing/revenue cycle, managed care requirements, coding and compliance. Utilizing a variety of available resources and contacts the counselor will assess and work towards the resolution of identified patient fiscal issues. The PBR will work collaboratively with BWPO Practice Management, Patient Accounts, BWH Customer Service, Patient Relations, BWPO Billing Agencies, the Office of General Counsel, and State Agencies, e.g., EOHHS, DHCFP, etc. Principal Duties and Responsibilities:

Financial Assistance Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate. Submits applications all Massachusetts applications for health coverage via the Health Connector. The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system. The PBR will also assist with out of state applications when appropriate. Acts as patient representative in any cases submitted via the Health Connector, paper or over the phone, assisting the patient in deciphering notices received from EOHHS. Assists patients in the redetermination process for MassHealth, Connector Care and or Health Safety Net. Assists patients in applying for pharmaceutical assistance programs (PAP), acting as liaison between PAP representatives and the patient or physician office. Assists Medicare patients in applying for Low Income Subsidy for Medicare Part D and for assisting patients in navigating the Medicare Part D website to choose a plan. Assists patients in applying for and/or understanding all other financial assistance programs or low cost insurance plans such as the Insurance Partnership, Medical Security Plan, and Health Connector Plans. Help patients apply for and or understand all other financial assistance programs such as INET’s Medical Hardship or Special Circumstances or the PHS Financial Assistance application. Assists patients in applying for Social Security, WIC, Fuel Assistance, etc. Assists patients in applying for disability and long term care Medicaid. Acts as a liaison between the patients, hospital billing department and BWPO practices/billing agencies in addressing any billing related inquires and issues. Accepts and/or arranges payment for deductibles and outstanding balances utilizing Chapter 224 Patient Estimations Policy and Procedure. Counsels and advises patients of discount options available according to Partners guidelines. Re-bill accounts when necessary for the Hospital and BWPO. Directly interfaces with billing agencies in order to investigate patient reported issues and maintains a contact list. Utilizes knowledge of various payer requirements and when necessary researches any billing inquiries initiated by the patient and is able to provide a comprehensive and comprehendible explanation to the patient and or practice. Reviews visit notes/codes against what was entered in EPIC and ONTRAC to determine if an incorrect code was entered. Communicates with practice/physician to resolve problems regarding coding/billing issues. Investigates managed care related issues with the payer and the Patient Service Center. Works to resolve collection disputes, collect payments from patients and post payments in EPIC Accounts Receivable System. Reviews and resolves registration related billing issues. Fosters a positive relationship with assigned practice management, shares relevant findings, and enhances understanding of patient concerns. Maintains a daily workflow queue of patient and practice billing issues and their outcome in ONTRAC. Assists in registration process and update any account when necessary. Adheres to all registration policies to assure effective operations. Help patients apply for and or understand all other financial assistance programs such as INET’s Medical Hardship or Special Circumstances or the PHS Financial Assistance application. Assists patients in applying for Social Security, WIC, Fuel Assistance, etc. Assists patients in applying for disability and long term care Medicaid. Works on special projects, cover other services and/or locations, and other task when necessary. Qualifications: Certified Applications Counselor (CAC) Prior experience with financial assistance or Government related programs preferred Knowledge of medical terminology helpful Familiarity with a hospital legacy system, Microsoft Office and Share Point preferred Demonstrated excellent customer service abilities Proficiency in oral and written communication Certified Applications Counselor (CAC) Adeptness in assessing and solving problems, excellent organizational skills, ability to prioritize Knowledge of revenue cycle particularly with regard to insurance reimbursement and managed care referral requirements Ability to effectively interact with various levels of the organization Ability to work independently, with minimal supervision Qualifications: Bachelor’s degree or equivalent relevant experience required Certified Applications Counselor (CAC) Prior experience with financial assistance or Government related programs preferred Knowledge of medical terminology helpful Familiarity with a hospital legacy system, Microsoft Office and Share Point preferred Bilingual preferred

Skills/Abilities/Competencies Required: Demonstrated excellent customer service abilities Proficiency in oral and written communication Certified Applications Counselor (CAC) Adeptness in assessing and solving problems, excellent organizational skills, ability to prioritize Knowledge of revenue cycle particularly with regard to insurance reimbursement and managed care referral requirements Ability to effectively interact with various levels of the organization Ability to work independently, with minimal supervision Brigham and Women’s Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, sexual orientation, protected veteran status, or on the basis of disability.

#J-18808-Ljbffr

  • Patient Financial Counselor

    2 weeks ago

    Boston, United States Dana-Farber Cancer Institute Full time

    With direct supervision, the Patient Financial Counselor:Conducts registration interviews to collect or update patient demographic, as well as financial, and relevant personal information ensuring its accuracy and integrity. Verifies insurance eligib Financial, Patient, Counselor, Health, Healthcare

  • Patient Financial Counselor

    6 days ago

    Boston, United States Dana-Farber Cancer Institute Full time

    The Patient Financial Counselor serves as point of contact for patients for financial matters related to access to services and engagement throughout their financial experience at Dana-Farber Cancer Institute (DFCI). Reporting to and with direction from the Access & Financial Engagement Supervisor, the Patient Financial Counselor is responsible for ensuring...

  • Patient Financial Counselor

    1 month ago

    Boston, United States Dana-Farber Cancer Institute Full time

    The Patient Financial Counselor II serves as an experienced point of contact for patients for financial matters related to access to services and engagement throughout their financial experience at Dana-Farber Cancer Institute (DFCI). Reporting to, and with moderate direction from, the Access & Financial Engagement Supervisor, the Patient Financial Counselor...

  • Patient Financial Counselor

    4 weeks ago

    Boston, United States Dana-Farber Cancer Institute Full time

    The Patient Financial Counselor II serves as an experienced point of contact for patients for financial matters related to access to services and engagement throughout their financial experience at Dana-Farber Cancer Institute (DFCI). Reporting to, and with moderate direction from, the Access & Financial Engagement Supervisor, the Patient Financial Counselor...

  • Patient Financial Counselor

    2 months ago

    Boston, United States Brigham & Women's Hospital(BWH) Full time

    General Summary/ Overview Statement: The Patient Business Representative (PBR) is a great opportunity for a new graduate. The PBR functions as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for the purpose of determining eligibility for government and...

  • Inpatient Patient Financial Advocate

    4 weeks ago

    Boston, United States Boston Medical Center Full time

    Position: Inpatient Patient Financial Advocate Department: Patient Access Services, Menino & Yawkey Schedule: Full Time, 8am - 4:30pm, Monday - Friday , 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...

  • Financial Aid Counselor

    1 month ago

    Boston, United States Simmons University Full time

    ABOUT SIMMONS Located in Boston’s historic Fenway area, Simmons has a strong tradition of empowering women and challenging traditional gender roles. Simmons University was one of the first higher education institutions to prepare women to become leaders and has evolved to become a university offering a women’s undergraduate program and graduate programs...

  • Inpatient Patient Financial Advocate

    2 months ago

    Boston, United States Boston Medical Center Full time

    Position: Inpatient Patient Financial Advocate Department: Patient Access Services, Menino & Yawkey Schedule: Full Time, 8am - 4:30pm, Monday - Friday , 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...

  • Student Financial Services Counselor

    2 months ago

    Boston, United States The Massachusetts College of Pharmacy & Health Services Full time

    This position focuses on providing a high level of customer service via walk-in counseling, phone calls, and appointments regarding: the financial aid application process, student account inquires, and financing options loan counseling, and debt mana Financial, Counselor, Student, Service, Education

  • Counselor Supervisor

    4 weeks ago

    Boston, United States BayMark Health Services Full time

    Compassionate Counselor Supervisor Needed! The Counselor Supervisor will supervise the Counselors and Counselor Interns who provide treatment and casework services to patients in compliance with all applicable laws and regulations and with HCRC's policies and procedures. The counselor supervisor will ensure timely documentation of patient services based...

  • Evening Substance Abuse Counselor

    7 days ago

    Boston, United States BayMark Health Services Full time

    Compassionate Substance Use Counselor Needed! Position Overview: Substance use counselor will be in charge of assisting patients through medically assisting programs and offering techniques for handling opioid addiction. Counselor conducts group sessions and individual sessions to assist with crisis management and coping strategies. Additionally, the...

  • Evening Substance Abuse Counselor

    4 weeks ago

    Boston, United States BayMark Health Services Full time

    Compassionate Substance Use Counselor Needed! Position Overview: Substance use counselor will be in charge of assisting patients through medically assisting programs and offering techniques for handling opioid addiction. Counselor conducts group sessions and individual sessions to assist with crisis management and coping strategies. Additionally, the...

  • Addiction Counselor/Therapist

    2 months ago

    Boston, United States Mass General Brigham Full time

    Addiction Counselor/Therapist-(3295975) Description The Recovery Research Institute (RRI) within the Department of Psychiatry at Massachusetts General Hospital is recruiting a half-time addiction counselor/therapist with a current Alcohol and Drug Counselor license (., LADC)  for a five-year National Institute of Health (NIH) funded study of youth...

  • Addiction Counselor/Therapist

    1 week ago

    Boston, United States Massachusetts General Hospital Full time

    DescriptionThe Recovery Research Institute (RRI) within the Department of Psychiatry at Massachusetts General Hospital is recruiting a half-time addiction counselor/therapist with a current Alcohol and Drug Counselor license (e.g., LADC) for a five-year National Institute of Health (NIH) funded study of youth substance use disorder treatment. The addiction...

  • Patient Financial Coordinator

    3 months ago

    Boston, United States Tufts University Full time

    Overview Tufts University School of Dental Medicine (TUSDM) offers one of the most forward-looking educational environments in dental medicine in the country. Revenue Cycle Operations (RCO) supports patient care services revenue cycle management team, along with other members of the Finance and Administration team, supports the financial management and...

  • Tobacco Treatment Counselor(40Hrs, Days)

    2 months ago

    Boston, United States Boston Medical Center Full time

    POSITION SUMMARY: The Tobacco Research and Treatment Center at Boston Medical Center seeks a tobacco counselor to provide behavioral counseling to help smokers stop smoking. Working under the direction of the Medical Director of the Tobacco Treatment Program and Tobacco Education and Treatment Coordinator, the counselor will be responsible for assessing and...

  • Patient Financial Services Manager- MA

    4 weeks ago

    Boston, United States American Consultants Full time

    Job DescriptionJob DescriptionPatient Financial Services Manager- MAAmerican Consultants is looking for an PFS Manager for a facility outside of Boston, MAStatement of Purpose:The Manager is responsible for managing Patient Financial Services including Billing, Collections, Customer Services, Cash Posting and Denial Management. They also coordinate the daily...

  • Merrill Financial Solutions Advisor

    2 months ago

    Boston, United States National Black MBA Association Full time

    Job Description: This job is responsible for working with high-net worth clients with annual revenues of $100k-$5mm, identifying needs, developing relationships, reviewing investment goals, and preparing investment recommendations that align with the goals of both existing and prospective clients. Key responsibilities include leveraging technology to achieve...

  • Immigrant Services Student Success Counselor

    1 month ago

    Boston, Massachusetts, United States Bunker Hill Community College Full time

    Location: Boston, MA Category: Part Time Non-Benefited Positions Posted On: Mon Jul Job Description:Reporting to the Director of Immigrant Services, the Immigrant Services Student Success Counselor will utilize equity and asset-based practices to contribute to the success of prospective, new, and continuing immigrant students. This position will assist...

  • Admissions Counselor

    3 months ago

    Boston, United States Benjamin Franklin Cummings Institute of Technology Full time

    Job DescriptionJob DescriptionDescription:Who We Are:Benjamin Franklin Cummings Institute of Technology (Franklin Cummings Tech) is a private, non-profit, two-year technical college located in Boston. Founded in 1908, the college proudly continues a long tradition of educating students for high-demand technical careers in a variety of industries, including...