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Base pay range
$17.00/hr - $19.00/hr
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Management & International Business- Purdue University
Locations: West Bend, Woodland Prime(Menomonee Falls), Manitowoc
Employment Type: Contract (6 months with potential extension)
Schedule: Monday Friday, 8:30 AM 5:00 PM
Start Date: ASAP
Summary:
To assess patient financial needs, assist patients and collect deposits in a professional and courteous manner. To screen patients and assist with applications for applicable governmental programs, the health insurance exchange, and/or financial assistance program. To stress customer service and positive interpersonal relations while working closely with Admitting/Registration, Preauthorization, Care Management, appropriate department personnel in Patient Financial Services and MCW Clinical Practice Services in addressing financial responsibilities.
Responsibilities:
- For patients who are identified as self pay, claim financial hardship or the inability to pay, initiates timely account resolution activities to address the issue while attempting to allow elective patient care to proceed as scheduled. Monitors applicable Financial Counselor work queues to ensure that all initial patient financial activities have been completed, and that account balances that have not been previously secured through insurance verification or other confirmed subsidy sources are addressed in a timely manner. Reviews Financial Counselor work queues on an ongoing basis to ensure payment source has been secured for all discharged self pay patients when applicable. Updates the patient accounting system as activities have been completed and as patient account problems and issues have been addressed, in accordance with Patient Financial Services policies/procedures.
- Counsels with patients to guide them through the application and eligibility process with Medicaid offices, Victim of Crime, Insurance Exchange, and other resources available to patients to cover services. Assists patients with the Financial Assistance application process according to the protocols set forth.
- Based on the patient's ability to pay and the urgency of medical need, collects patient deposits after estimating the approximate costs of the anticipated care. Calculates, provides, and updates estimates upon necessity to various staff and patients. Calculates, provides, and updates estimates upon request to various staff, patients, and other potential customers.
- Communicates with Social Services, Case Management, Admitting/Registration, appropriate department personal, and the physician as applicable to discuss those patient financial problems that cannot be resolved to determine the alternatives to the elective patient care plan.
- Enforces hospital patient accounting and compliance processes by confirming that required documents have been completed, insurance (re) verification has been performed, and precertifications/re-certifications have been obtained.
- Assist patients during open enrollment period to apply for a Qualified Health Plan (QHP) and/or Insurance Affordability Programs. Adhere to document storage & destruction policies/procedures.
Experience Required:
- A minimum of 1 year of experience in healthcare/revenue cycle functions (or other business office), case management, or social work is required.
Experience Preferred:
- Experience using Microsoft Word, Excel and other software programs is preferred.
- Experience using Epic in a healthcare environment is preferred.
- Experience in social work or case management is preferred.
Education Required:
- High School diploma or equivalent is required.
Education Preferred:
- Bachelor's degree in social work, case management, healthcare administration, business administration, or other related field is preferred.
Licensure Required:
- None.
Licensure Preferred:
- State of Wisconsin and Federal Certified Application Counselor Designation is preferred.
- In lieu of Certified Application Counselor Designation, current Licensed Health Insurance Agent is preferred.
Seniority level
Seniority level
Entry level
Employment type
Employment type
Contract
Job function
Job function
Finance, Customer Service, and Administrative-
Industries
Hospitals and Health Care
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Inferred from the description for this job
Vision insurance
Medical insurance
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