Membership Financial Counselor

1 month ago

Saint Louis, United States Adecco Full time
Job DescriptionJob DescriptionAdecco Healthcare is seeking a dedicated and passionate professional to join our client's team

Position Name: Membership Financial Counselor
Location: St. Louis, MO (multiple locations)
Employment Type: Direct-Hire & Permanent
Setting: Primary Care/Hybrid

Pay
$45,000 to $55,000 + 7% bonus (depending on experience)

Shift (Full-Time)
- Monday-Friday: 8am-5pm
- No: weekends

Qualifications
Required:
- 3 years of recent experience with Medicaid, Medicare, Medicare Advantage, and Special Needs Plan (SNP) eligibility and enrollment
- Proficiency with Microsoft Office Suite
- Multi-site healthcare delivery organization experience
- Capitated risk-based reimbursement models experience
- Valid/Active Driver's License

Preferred:
- Bachelor's Degree
- Salesforce experience
- Microsoft Teams experience
- eClinicalWorks or similar EMR experience

Application Guidelines
- Professional Stability: 2+ years in recent roles preferred.
- Complete Resume: Full work history with job title, company, dates (month/year), and responsibilities for each role.
- Serious Applicants: Incomplete applications or frequent unexplained job changes may be disqualified.

Required Skills & Abilities
- Strong knowledge of Medicaid, SNP, and various assistance programs, including eligibility requirements for multi-state and federal programs.
- Proven ability to communicate effectively and build relationships with stakeholders and team members.
- Excellent organizational, written communication, and problem-solving skills.
- Proficient in navigating state benefit portals and understanding medical insurance, including the ability to interpret explanations of benefits (EOB).
- Willingness to travel regularly within the assigned market (80%).

Job Summary
The Member Financial Counselor will assist patients (members) in enrolling in state and federal assistance programs to maximize their eligible benefits. This position involves direct interaction with members and requires travel within the assigned market to engage with them at various centers.

Candidates should possess strong technological skills to effectively navigate the requirements of health plans and assistance programs. The ideal applicant will have excellent attention to detail for data entry, be receptive to feedback from leadership, and be able to communicate clearly with senior members.

Job Duties
- Assist members in completing paperwork for eligibility determination and enrollment in state and federal programs, including Medicaid and SNAP.
- Evaluate and document patients' financial histories in relation to Medicaid and other program regulations.
- Input and update data into various systems to ensure accurate reporting.
- Meet with members and/or guarantors to assist with the Medicaid and Marketplace application processes.
- Uphold patient confidentiality by complying with all relevant laws and regulations regarding privacy rights.

Benefits
- Medical, Dental, Vision, HAS, FSA
- Life & Basic Life Insurance
- AD&D, Short-Term and Long-Term Disability
- 401K Retirement
- PTO, 10 Holidays Off, 2 "Floating Holidays"

Interested
Please apply or email your updated resume (include Position Name & Location):

Pay Details: $45,000.00 to $55,000.00 per year

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

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