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Financial Case Manager

5 months ago

Rochester, United States Rochester Regional Health Full time

Description HOW WE CARE FOR YOU: At Rochester Regional Health, we are dedicated to getting health care right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community. Pension Plan Retirement Plan Comprehensive Benefits Package Tuition Reimbursement Benefits Effective Date of Hire Same Day Pay through Daily Pay SUMMARY The Financial Case Manager is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process. STATUS: Full time LOCATION: Riedman Campus DEPARTMENT: Financial Counseling SCHEDULE: Monday - Friday Days ATTRIBUTES • For Community/Hospital setting: Completion of the Certified Application Counselor (CAC) training within 6 months of employment. • Base knowledge of health care governmental assistance programs, guidelines, and application procedures. • Able to communicate and respond to inquiries; requires effective interpersonal skills and ability to interact with the patients to explain payment policies and persuade patients to settle account balances. • Ability to manage multiple concurrent assignments in a fast-paced environment. • Ability to utilize Care Connect system effectively and accurately upon initial completed training. • Skilled establishing priorities to complete work in a timely manner despite changes in workload, deadlines, or competing requirements. • Demonstrate strong interpersonal and organizational skills to interact courteously and effectively with physicians, patients, and staff members. • Ability to interact with all members of the organization in ways that enhance understanding, respect, cooperation and problem solving. • Writing and editing skills to prepare grammatically routine business correspondence; such as email and letters. • Skilled in operating a PC and PC-based software applications, including Microsoft Office. • Ability to solve problems with minimal direction in a stressful environment and maintain a positive attitude. • Demonstrate excellent time management, organizational, verbal, and written skills. • Ability to handle difficult situations involving patients, physicians, or others in a professional manner. • Ability to maintain confidentiality of all medical, financial, and legal information. • May need to travel throughout service area. RESPONSIBILITIES INSURANCE VERIFICATION: Assesses the healthcare coverage needs of uninsured and under-insured patients. Verifies insurance coverage to identify uninsured patients who may be eligible for insurance enrollment, and provides the FCM II accurate information for patient interview when needed. Assists under-insured patients with applying for secondary coverage, financial assistance applications in the acute care setting and other programs in which they be eligible. COMMUNICATION: Complete all financial and secondary insurance applications with high quality work, gathers all necessary documentation and submit them to the proper agency / staff for processing. Notifies the appropriate staff of pertinent information and enters notes in a timely manner into the financial and clinical sections of Care Connect as well as any additional software programs that may be deemed necessary for the arena working in. Establishes payment plan arrangements for patients per policy for hospital and clinical accounts. Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements, agency regulations and budgeting procedures for Long Term Care arena. DOCUMENTATION & TRACKING: Follows documentation and productivity standards according to policies and procedures. Assists patients with resolving non-complex coordination of benefit issues. May need to contact third party insurance providers to rectify primary and secondary coverage errors. Collaborate with Patient Financial Services staff by contacting patients requesting they complete appeal documentation for the acute based hospital accounts. Track Private Pay residents in Long Term Care setting in order to begin Medicaid application at opportune time as to ensure no gap in coverage for nursing home. Scanning and saving applications and decisions into system for future reference. Additional duties as assigned with a positive attitude. PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. LICENSES/CERTIFICATIONS: NYS DL - valid New York State Driver's License - New York State Department of Motor Vehicles (NYSDMV) PAY RANGE: $20.00 - $24.85 The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran Minimum Salary: 20.00 Maximum Salary: 24.85 Salary Unit: Hourly