Boston Medical Center (BMC)
Outpatient Financial Counselor Quincy - 24 Hours M-W 8:30AM-5P U
Boston Medical Center (BMC), Boston, Massachusetts, us, 02298
Outpatient Financial Counselor Quincy
24 Hours M-W 8:30AM-5:00PM (part time) at Boston Medical Center (BMC)
Position Summary:
Under the general direction of the PFC Manager, the Quincy Outpatient Financial Counselor (OPFC) serves as an advocate and navigator for vulnerable BMC patients. The role helps low‑income, uninsured and underinsured patients apply for financial assistance programs, secure health‑insurance coverage, and manage self‑pay patient work queues. The OPFC engages patients by phone and/or in writing, screens for eligibility, provides enrollment assistance to secure coverage through MassHealth, Out of State Medicaid, HSN, or BMC’s Charity Care Program, initiates new applications, renews programs, updates patient demographic information, opens financial trackers, and documents all efforts to assist patients in applying for insurance coverage. The OPFC embodies BMC’s mission, vision, and values and follows policy and procedure regarding BMC’s billing and collection practices and the Certified Application Counselor Designation Agreement between BMC and MassHealth.
Essential Responsibilities
Demonstrate respectful personal conduct and utilize AIDET when engaging patients and visitors.
Complete MassHealth’s curriculum for Certified Application Counselor and renew certification annually.
Provide information about the full range of medical and dental insurance programs available through the Health Insurance Exchange (HIX).
Interview patients in a language and manner best understood, determine eligibility, and communicate enrollment options and benefits. Answer questions about Qualified Health Plans (QHP) and Qualified Dental Plans (QDP) and explain subsidized plans.
Utilize protected software programs to determine patient eligibility for MassHealth, Health Safety Net, ConnectorCare, and other carriers, and assist with enrollment.
Initiate communication with patients by phone, mail, or email to start new applications or renewals, inform about deadlines, effective dates, and required documentation.
Scan MassHealth applications and supporting documents into HIX and patients’ Epic record.
Document in Epic the status of all applications by adding a financial tracker and recording actions taken.
Assist patients with enrolling in or changing selection of an Accountable Care Organization (ACO) to ensure continued access to services.
Provide voter registration information and assistance; complete appropriate patient declination forms when requested.
Validate and update active insurance coverage in the hospital registration and billing system on accounts with covered dates of service.
Assist patients with billing questions or concerns; offer self‑pay discount and payment plan options for ineligible patients.
Collect and post payments for balances related to self‑pay, Ad‑Hoc, and Flat Fee contracts in accordance with BMC policy.
Interact with multiple departments to resolve insurance and billing questions (e.g., Customer Service, Pharmacy, Social Services, Case Management, Patient Accounts, Clinic Staff, Unit Nursing, professional billing).
Provide pricing estimates for elective services if patient is uninsured or services are uncovered.
Adhere to the BMC Credit and Collection Policy.
Assist patients with confidential applications for protected services and medical hardship.
Respond to telephone calls courteously and refer callers to other departments or resources as appropriate.
Present and interact respectfully and professionally with BMC patients, visitors, and team members.
Maintain daily written reports of work activity, patient enrollments and outcomes, complaints and resolutions, and declinations.
Demonstrate superior customer service standards.
Participate in regular staff meetings and scheduled trainings to maintain required core competencies.
Serve as a resource and subject matter expert regarding financial assistance programs.
Assist with orientation, including shadowing of new staff as assigned.
Validate and update demographic and income information in HIX for known patients with prior program eligibility.
Validate patients’ active insurance coverage and update current plans in Epic.
Collect and post payments on accounts with outstanding balances; maintain and close Epic Cash Drawer and document transactions in patients’ financial trackers.
Schedule tasks for Financial Counseling Enrollment Coordinators to conduct patient follow‑up on pending applications.
Protect patient and family confidentiality.
Perform other duties and tasks as assigned.
Education & Job Requirements High School diploma required with 3‑5 years of strong customer service experience in a healthcare or human services setting; Bachelor's degree strongly preferred. Bilingual persons and those with hospital and/or healthcare experience are strongly preferred.
Certificates, Licenses, Registrations Required Must complete MassHealth’s curriculum for Certified Application Counselor (CAC) and maintain certification renewal annually. Individual must complete training and obtain CAC certification within 45 days of hire date.
Experience Work experience to include 2‑3 years of strong customer service experience, preferably in a healthcare or human services setting; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.
Knowledge and Skills
Demonstrate professionalism, maturity, and confidence in a diverse, multicultural, and decentralized environment.
Display strong, consistent communication skills (oral and written), interpersonal skill, and record‑keeping skill.
Show knowledge and understanding of eligibility criteria and application processes for MassHealth, Health Safety Net, ConnectorCare, and BMC’s Charity Care Program.
Display strong organizational skills with ability to manage multiple tasks simultaneously, prioritize work assignments, and complete follow‑up tasks timely.
Demonstrate strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision.
Exhibit critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified.
Require strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and assist patients in securing active coverage.
Display exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
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Position Summary:
Under the general direction of the PFC Manager, the Quincy Outpatient Financial Counselor (OPFC) serves as an advocate and navigator for vulnerable BMC patients. The role helps low‑income, uninsured and underinsured patients apply for financial assistance programs, secure health‑insurance coverage, and manage self‑pay patient work queues. The OPFC engages patients by phone and/or in writing, screens for eligibility, provides enrollment assistance to secure coverage through MassHealth, Out of State Medicaid, HSN, or BMC’s Charity Care Program, initiates new applications, renews programs, updates patient demographic information, opens financial trackers, and documents all efforts to assist patients in applying for insurance coverage. The OPFC embodies BMC’s mission, vision, and values and follows policy and procedure regarding BMC’s billing and collection practices and the Certified Application Counselor Designation Agreement between BMC and MassHealth.
Essential Responsibilities
Demonstrate respectful personal conduct and utilize AIDET when engaging patients and visitors.
Complete MassHealth’s curriculum for Certified Application Counselor and renew certification annually.
Provide information about the full range of medical and dental insurance programs available through the Health Insurance Exchange (HIX).
Interview patients in a language and manner best understood, determine eligibility, and communicate enrollment options and benefits. Answer questions about Qualified Health Plans (QHP) and Qualified Dental Plans (QDP) and explain subsidized plans.
Utilize protected software programs to determine patient eligibility for MassHealth, Health Safety Net, ConnectorCare, and other carriers, and assist with enrollment.
Initiate communication with patients by phone, mail, or email to start new applications or renewals, inform about deadlines, effective dates, and required documentation.
Scan MassHealth applications and supporting documents into HIX and patients’ Epic record.
Document in Epic the status of all applications by adding a financial tracker and recording actions taken.
Assist patients with enrolling in or changing selection of an Accountable Care Organization (ACO) to ensure continued access to services.
Provide voter registration information and assistance; complete appropriate patient declination forms when requested.
Validate and update active insurance coverage in the hospital registration and billing system on accounts with covered dates of service.
Assist patients with billing questions or concerns; offer self‑pay discount and payment plan options for ineligible patients.
Collect and post payments for balances related to self‑pay, Ad‑Hoc, and Flat Fee contracts in accordance with BMC policy.
Interact with multiple departments to resolve insurance and billing questions (e.g., Customer Service, Pharmacy, Social Services, Case Management, Patient Accounts, Clinic Staff, Unit Nursing, professional billing).
Provide pricing estimates for elective services if patient is uninsured or services are uncovered.
Adhere to the BMC Credit and Collection Policy.
Assist patients with confidential applications for protected services and medical hardship.
Respond to telephone calls courteously and refer callers to other departments or resources as appropriate.
Present and interact respectfully and professionally with BMC patients, visitors, and team members.
Maintain daily written reports of work activity, patient enrollments and outcomes, complaints and resolutions, and declinations.
Demonstrate superior customer service standards.
Participate in regular staff meetings and scheduled trainings to maintain required core competencies.
Serve as a resource and subject matter expert regarding financial assistance programs.
Assist with orientation, including shadowing of new staff as assigned.
Validate and update demographic and income information in HIX for known patients with prior program eligibility.
Validate patients’ active insurance coverage and update current plans in Epic.
Collect and post payments on accounts with outstanding balances; maintain and close Epic Cash Drawer and document transactions in patients’ financial trackers.
Schedule tasks for Financial Counseling Enrollment Coordinators to conduct patient follow‑up on pending applications.
Protect patient and family confidentiality.
Perform other duties and tasks as assigned.
Education & Job Requirements High School diploma required with 3‑5 years of strong customer service experience in a healthcare or human services setting; Bachelor's degree strongly preferred. Bilingual persons and those with hospital and/or healthcare experience are strongly preferred.
Certificates, Licenses, Registrations Required Must complete MassHealth’s curriculum for Certified Application Counselor (CAC) and maintain certification renewal annually. Individual must complete training and obtain CAC certification within 45 days of hire date.
Experience Work experience to include 2‑3 years of strong customer service experience, preferably in a healthcare or human services setting; Bachelor's degree strongly preferred. Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.
Knowledge and Skills
Demonstrate professionalism, maturity, and confidence in a diverse, multicultural, and decentralized environment.
Display strong, consistent communication skills (oral and written), interpersonal skill, and record‑keeping skill.
Show knowledge and understanding of eligibility criteria and application processes for MassHealth, Health Safety Net, ConnectorCare, and BMC’s Charity Care Program.
Display strong organizational skills with ability to manage multiple tasks simultaneously, prioritize work assignments, and complete follow‑up tasks timely.
Demonstrate strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision.
Exhibit critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified.
Require strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and assist patients in securing active coverage.
Display exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
#J-18808-Ljbffr