Financial Resource Specialist

24 hours ago


Syracuse, New York, United States Upstate University Hospital Full time
Job Summary:

Under the guidance of the Financial Resource Supervisor, the Financial Resource Specialist will assist and evaluate all self-pay patients to determine if they are eligible for coverage through Medicaid, Medicaid Managed Care or any other type of Marketplace program. Must be a Certified Application Counselor, or be eligible to become certified. Responsible to calculate, give estimates and collecting deposits on non-emergent self-pay elective admissions and non medically necessary procedures. Responsible to gather necessary documentation for a Medicaid or Medicaid Managed Care application and assists in completing the application with the patient/family. Verifies Medicaid appointment dates and tracks status of the Medicaid determination. Keeps abreast of patient status such as exhausted benefits to ensure that patients have the necessary coverage to pay for their services. Responsible to keep abreast of all Medicaid regulations.

Key Responsibilities:
  • Assist patients in determining eligibility for Medicaid, Medicaid Managed Care, or other Marketplace programs
  • Calculate and collect deposits for non-emergent self-pay elective admissions and non-medically necessary procedures
  • Gather necessary documentation for Medicaid or Medicaid Managed Care applications
  • Assist patients in completing applications and verifying Medicaid appointment dates
  • Track status of Medicaid determinations and patient benefits
Requirements:
  • Associates Degree and three years relevant experience or equivalent combination of education and relevant experience required
  • Must be proficient in the use of a computer and able to communicate in an accurate and professional manner
  • Must be a Certified Application Counselor, or eligible to become certified and obtain certification within one year of appointment
  • Business and/or healthcare experience preferred


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