Financial Counselor - Healthcare jobs in Montana

POSITION SUMMARY: Will be responsible for providing patients with a positive financial experience by helping patients navigate and understand their current insurance benefits and potential financial liability. Will be the point of contact for financial assistance questions including but not limited to payment plans, sliding fee discount program (SFDP), and collections activity. SFDP duties can include approval of applications, setup of slide in the Electronic Health Record (EHR), follow-up on incomplete, expired, or outstanding applications, and communication with patients regarding all aspects of the program. SFDP duties will also encompass an understanding of and compliance with the SFDP policy and procedures as well as working with financial and Health Resources and Services Administration (HRSA) auditors to demonstrate One Health compliance with same.

COMPENSATION: $17.99-$18.35/hr DOE

EMPLOYMENT TYPE: Full-Time (40 hours/week)

AVAILABILITY: Monday to Friday

BENEFITS: We offer a competitive compensation package that includes paid time off, ten paid holidays, discounted health care for employees and their family members, as well as health, dental, & vision insurance, disability insurance, health savings account, and matching retirement plan for all employees working at least 20 hours/week.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

ABOUT ONE HEALTH: With multiple clinic sites across Montana and Wyoming, One Health provides medical, dental, pharmacy, behavioral health, and community and public health services to rural populations through an integrated approach to health care.

One Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

MINIMUM JOB QUALIFICATIONS: 

Education/Certificates/Licenses: 

Required

• High school diploma or GED
• Valid driver’s license

Experience:

Required

• Proficient computer skills to include internet-based applications.
• Ability to perform in a fast-paced environment while managing multiple priorities.
• Ability to be well organized and accountable for time and activities with remote supervision.
• Must have a passion for serving others while adhering to and demonstrating exceptional attention to boundaries and professionalism.

Preferred

• Two years’ experience working in a health care or community service setting.

Competencies:

• Attention to detail/thoroughness
• Collaboration and teamwork
• Communication proficiency, verbal/written
• Confidentiality and discretion
• Customer/client focus including strong emotional intelligence and empathy
• Ethical conduct including character that inspires trust
• Initiative
• Organizational skills
• Personal effectiveness/credibility
• Problem solving/analysis
• Results driven
• Self-starter, ability to work independently
• Technical proficiency
• Time management skills
  

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

1. Educates patients on services offered at One Health directing patients to appropriate clinical and non-clinical resource areas as appropriate.
2. Meets with patients both in-person and virtually to review patient questions and needs surrounding any financial concerns including but not limited to One Health bills, payment plans, SFDP, and collections.
3. Assists patients to complete SFDP application for both initial application and renewals. Directs and educates patients on the supporting documentation needed to submit a completed application.
4. Processes SFDP applications. Ensures all documentation and EHR data is completed in all appropriate and applicable household member patient charts that meet Federal Poverty Level (FPL) requirements and are listed on the application. Communicates with applicants regarding processed applications, incomplete applications, and outstanding document needs.
5. Participates in reporting and auditing of SFDP.
6. Possesses an understanding of the SFDP and Collections policy and procedures and their application to One Health. Able to assist staff across the organization with questions related to SFDP and Collections policies.
7. Answers any questions patients may have about their billing statements and service.
8. Acts as a financial counselor for patients with outstanding balances including but not limited to establishing payment plans and processing payments.
9. Active liaison for patients to connect with the One Health CHA team, in-person or virtually, to apply for marketplace coverage, insurance, third party coverage, or government programs or other social programs as appropriate.
10. Identifies past due patient accounts and contacts guarantors to establish payment plans, offers enrollment in the sliding fee program, hardship if appropriate, or identifies other issues impeding collections.
11. Generates warning letters and collection letters by following organizational policy. Then processes accounts for submission to collection agencies.
12. Processes employee and employee discount EHR data.
13. Processes appropriate monthly invoices for submission to supervisor.
14. Participates as part of a team to meet patient needs and organizational demands. Uses effective communication and collaboration across all platforms to support the mission of the organization.
15. Manages confidential and sensitive information and data to comply with organizational policy and HIPAA guidelines. This may include patient information such as medical records, verification of employment, income verification, bank information, and a release of patient records.
16. Participates in performance optimization and risk management activities as required.
17. Adheres to all One Health Policies and Procedures.
18. Cooperates and abides by all elements of One Health’s Compliance Program.
19. Provides exceptional customer service and models the mission of One Health when interacting with internal and external stakeholders promoting a positive image for the health center.
20. Other duties may be assigned as required or needed with or without prior notification.