PAS Financial Counselor

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** Exemption Status:
** Non-Exempt
** Hiring Range:**$16.54 - $29.76
** Schedule Details:
** Monday through Friday
** Scheduled

Hours:

** Monday-Thursday 8:30am - 1:30pm;
Friday 8:30am-12:30pm
** Shift:
** 1 - Day Shift, 5 Hours (United States of America)
*
* Hours:

** 24
* * Cost Center:
** 24040 - 5677 Patient Financial Counseling This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.# #
** Everyone Is a Caregiver
** At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other.

And everyone, in their own unique way, plays an important part, every day.

Under the general direction of the Financial Counseling Supervisor/Manager and/or Financial   Clearance Director, the Financial Counselor (Certified Application Counselor) provides a key role   in providing a health care coverage needs assessment with patients, community applicants, and   family members. Determines eligibility for Mass Health, Qualified Health Plans, Children’s Health   Insurance, Health Safety net and any other coverage that they may qualify. Provides guidance and   assistance to patients, various internal UMass staff, physician offices and third-party vendors   regarding financial assistance programs.

Major Responsibilities:  
1. Interviews, screens and assess applicants and family members in a variety of on campus   locations utilizing income and household composition and other criteria in accordance with   CMS and other governmental established guidelines for program eligibility.
2. Determines qualification for affordable health insurance coverage, including the application of   advance premium tax credits (APTC), premium assistance programs, Medicare Savings Plans   and any other program they may be determined eligible.
3. Interacts with patients, the community, and outside agencies in a professional manner in   keeping with the Mission and Vision of UMMHC.
4. Facilitates enrollment through the online Health Connector Health Insurance Exchange (HIX)   or any other program application by accurate and timely submission of necessary paperwork   according to state and federal regulations and policies.
5. Follows up with patients in person or by telephone to obtains appropriate confidential financial   and medical information on incomplete applications.to establish eligibility for various   financial assistance programs.  
6. Acts as the liaison for patients with Mass Health, the Health Connector and the Health Safety   Net to assist in the resolution of eligibility discrepancies, applications status updates, and any   other issue that may arise in the determination process.
7. Facilitates patient understanding of health access options including but not limited to   eligibility rules, coverage types, enrollment periods, products and plans available through   Mass Health, the Health Connector, Medicaid Managed Care, and the Health Safety Net   program.  
8. Responsible for coverage of the Financial Counseling call center to act as a resource for   patients and families, members of the community, clinical departments and other Revenue   Cycle departments with insurance coverage issues and questions.  
9. Provides and documents price estimates request to patients in accordance with federal price   transparency regulations.
10. Works within EPIC work queues to identify and reach out to uninsured/underinsured   patients/families (inpatient, outpatient, surgical day, psychiatric in patients, psychiatric   outpatients, etc.) for the purpose of screening for assistance programs and upgrades to a richer   benefit program.  11. Works in conjunction with clinical areas, interpreters, social workers, case managers, social   security outreach workers, drug assistance coordinator, enhanced benefit coordinator, care   mobile, physician/provider offices and community health centers as needed to ensure access to   care and timely discharge planning.
12. Discusses financial obligations with patients prior to elective surgical days or admissions.
Communicates all information to provider offices and other Revenue Cycle departments.
13. Updates all accounts to reflect the current account status with appropriate financial class,   eligibility dates, other patient financial and demographic information.

Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and…