Job Description Summary
Under the direction of Patient Access Manager is responsible to assist in maintaining the financial integrity of South Shore Hospital through excellent customer service skills. Advocate and screen patients for the procurement benefits through state public assistance programs. Ability to interpret commercial and federal insurance plan coverage for patient and families. Responsible for the determination and collection of medical co-pays at the time of service.
Job Description
Essential Functions
1. Education of financial obligations and polices to patient and or family members.
a. Collect co-pays via cash, check, credit card, complete receipts.Can reconcile and balance receipts by shift. Able to log into excel spreadsheet and documents on patients account.
3. Demonstrates working knowledge of all public assistance programs and is able to screen patients for eligibility for these programs and initiate application.
a. Ensures application is completed by effective communication with patient is able to work collaboratively with co-workers and others (i.e. MEC, other facilities, and other departments) in order to complete the application with in time limitations.
5. Understand coordination of benefits and acts as a liaison between patients,Case Management, Patient Accounts Department, and Precertification.
6. Embraces Technology solutions to work processes and practices.
a. Able to function using department computer programs (Gateway, Excel, Word).
a. Understands individual roles/responsibilities during hospital codes (e.g. Code Green, Code Red)
a. Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.
Unit/ Department Specific Job Functions
a. Able to navigate and process application.
2. Understanding and ability to identify patients that need state disability supplements completed.
a. Once identified initiate and submit DDU supplement, following it to completion.
a. Able to advocate for patients through the state to ensure appropriate level of assistance is awarded.
7. Direct knowledge of State and Federal sponsored programs such as "SNAP", WIC, DTA, and Social Security. Ability to direct patients to these agencies.
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If you're passionate about helping others manage their healthcare finances, South Shore Health in Weymouth, MA, is looking for a dedicated Financial Counselor to join their team! In this role, you will work directly under the Patient Access Manager, ensuring that patients understand their financial obligations and guiding them through publicly funded assistance programs. Your knack for excellent customer service will shine as you screen patients for eligibility, collect co-pays, and collaborate with social work and case management for comprehensive patient care. A big part of your day will include educating patients on insurance plans and navigating the complexities of commercial and federal coverage. You're not just a numbers person; you’ll also embrace technology, such as using Gateway and Excel, to manage patient accounts and document financial interactions. Moreover, as you assist patients in understanding their financial responsibilities, you'll play a crucial role in ensuring the financial integrity of South Shore Hospital. The work environment is supportive, and you will have the chance to continue learning and growing in your role while fostering a culture of safety and collaboration. If you're ready to make a difference in people's lives while advancing your career in healthcare finance, this is an opportunity you won’t want to miss!
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South Shore Health is a not-for-profit, charitable health system offering primary and specialty care, hospital care, home health and community care, emergency and urgent care, and preventative and wellness services. We are the largest independent ...
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