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Patient Account Counselor in Marinette, WI at Bay Area Medical Center

Date Posted: 1/31/2019

Job Snapshot

  • Employee Type:
    Part-Time
  • Location:
    Marinette, WI
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    1/31/2019

Job Description

Location:  Bay Area Medical Center
Requisition Number:  2438
# of Openings:  1
Title:  Patient Account Counselor
Department:  8020 - Registrations
Position Type:  AFSCME – Part time
Shift:  1 – Days
Hours:  mainly 8-4:30
FTE:  .50 or greater
40 hr. waiver required:  No
Is call required:  No
Weekend Rotation:  None
Removed Internally:  1/20/19

TITLE:                      Patient Account Counselor

Department:            Registrations
Reports to:              Patient Access/Registrations Manager; Revenue Cycle Support Manager
Supervises:             No one

 
Job Summary:
The Patient Account Counselor serves as Bay Area Medical Center’s primary contact for patient reimbursement issues in accordance with established credit policies. Provides information regarding hospital payment requirements, alternative financing, and financial assistance programs. Counselors will also be responsible to educate patients about the health insurance exchanges and help them enroll in an exchange plan or an alternative insurance program as appropriate. Patient Account Counselors will assist with payment collection and customer service as needed. All communications are conducted in a manner that will result in positive patient relations and prompt reimbursement for services.
 
Essential Functions:
  1. Meets with patients, who present as self-pay to obtain valid insurance coverage, if applicable, and /or review prior account information to obtain insurance coverage information; notifies the appropriate department of information and enters appropriate notes in the patient accounting system.

  2. Educates, screens, and assists patients without valid insurance coverage with enrollment and programs including, but not limited to, Medicare, Medicaid and other state based assistance programs.

  3. Establishes long-term payment arrangements for patients per established Bay Area Medical Center policy when applicable.

  4. Follows up with all self-pay observation/inpatient’s prior to discharge to ensure that they have enrolled them in any Medicaid programs should they qualify or have been educated on our financial assistance program. Patients who may be eligible for cobra coverage or who are delinquent in payment of premiums for other insurance will be counseled on possible solutions to assist with bringing the premiums up to date so their stay will be covered.

  5. Meets with individuals interested in learning about and /or enrolling in an exchange plan in order to provide objective information about available Qualified Health Plans (QHPs) in the marketplace.

  6. Screens individuals who do not have insurance coverage in order to determine eligibility for exchange subsidies and estimates monthly premiums for different plans; depending on income level, informs consumers about alternate insurance affordability programs. ( e.g. Medicaid, Children’s Health Insurance Program)

  7. Keeps complete records of CAC meetings, and tracks the number of inquiries for exchange assistance, appointments held, and applications processed and approved.

  8. Stays up-to-date on any regulations governing the health insurance marketplace.

  9. Provides for listening to and addressing patient concerns regarding payments, services, insurance billing, etc. If the concern is for another department, completing a patient concern form and forward to appropriate department.

  10. Demonstrates sensitivity and compassion to all individuals seeking assistance, regardless of disability, age, gender, culture, race, ethnic background, religion, sexual orientation, or financial standing, and can effectively communicate with individuals diverse backgrounds; refers individuals to other assistance resources (e.g., translation services, navigator entities) as needed in order to best meet their needs.

  11. Responsible for taking payments, balancing cash drawer, and reconciling petty cash.



Additional Responsibilities:
  • Additional duties as may be assigned by the Manager of Patient Access/Registrations or Revenue Cycle Support Manager.

Qualifications:

Associate degree in business or health care related field or two years’ appropriate work experience. One year experience in financial counseling or Medicaid application processing preferred. Certification as a Wisconsin, Michigan, and Federal Health Insurance Exchange certified application counselor required. Knowledge of Medicare, Medicaid, Commercial, and Managed Care guidelines required. Candidate must be able to type a minimum of 35 wpm. Working knowledge of health care information systems is helpful. Excellent verbal, written, and interpersonal communication skills are a must as well as the ability to self-motivate, multi-task, and prioritize effectively to efficiently manage the day to day customer base.

Working Conditions:


Work is mental rather than physical.  This is a semi-stressful position due to work load volume and responsibility.