Financial Assistance Specialist

Job description

Financial Assistance Specialist

Supports clients with securing eligible financial assistance, monitoring enrollment status and coordinates collection as required. Effectively supports ongoing and collaborative communication amongst all program staff and is responsible for ensuring a trauma informed care environment.

Essential duties and responsibilities include:

Provides friendly and helpful assistance to all staff, patients, and payor representatives

Finds financial solutions for patients who need payment assistance through Marketplace enrollments or Individualized Financial Assessments

Provides patient support, verifying Insurance and payment collection

Utilizes payor websites to verify insurance eligibility, benefits, plan type, and patient cost share

Ensures insurance plan is entered accurately in the EHR by plan type and subscriber for all patients prior to claims billed

Verifies referring providers for all patients, and enters in patient chart in EHR prior to claims billed

Completes insurance enrollment with the patient via the NYS Marketplace for uninsured patients to determine eligibility

Completes financial assessment to determine sliding fee scale for patients that are ineligible for insurance

Coordinates with the reception and clinical team to schedule client appointments for payment assistance process

Meets with patients face-to-face to complete insurance enrollment or financial assessment

Monitors enrollment status and ensures all patients receive a response and follow-up

Coordinates with billing staff to ensure all claims are billed retro actively to effective date of plan

Mails monthly patient statements

Completes patient account adjustments for uncollected balances

Inform patients of provider fee schedule, answers questions regarding patient bill

Processes patient payments via phone utilizing online bill pay portal

Calls to obtain authorization of services for Restricted Recipient patients for out of network plans

Emails NYSDOH complaint department to resolve COB issues

Adheres to all applicable federal and state laws, including but not limited to those governing client confidentiality, privacy, program standards and billing and documentation standards.

Has knowledge of federal and state standards governing program documentation and Medicaid and Medicare billing standards and completion of all required service documentation in accordance with such standards

Maintains up-to-date professional knowledge through reading, workshops/trainings, and conferences, as appropriate

Participates in relevant Agency meetings and/or trainings

Actively pursues development of professional competencies related to job performance through reading, supervision, in-service training and attendance at conferences and workshops.

Awareness and active support of the Agency's Mission, Vision, Values and Strategic Plan. Including, but not limited to, supporting the Agency's Core Competency initiatives of being Collaborative and Community Focused, Innovative and Entrepreneurial, and Culturally Competent and Diverse

Other duties as assigned

Requirements:

Qualifications:

Education:

Associates degree in Business Administration or Accounting preferred.

Certification:

NYS of Health Assistor Certification Required (training/certification can be taken upon hire).

Experience:

At least 1 year of accounting or client billing experience required, preferably in a non-profit setting preferred. Experience working in an Electronic Health Record (EHR) preferred. Equivalent combination of education and experience will be considered.

Additional Requirements:

Ability to prioritize assignments, plan, and complete work projects with minimal direction,

An ability to work efficiently and effectively and meet deadlines,

An ability to work under pressure,

Excellent verbal/written skills,

Ability to maintain confidentiality,

Ability to demonstrate behaviors and attitudes which support agency mission, philosophy, and policies.

Willingness and ability to foster agency and program wide cooperation and teamwork through use of positive/constructive communication techniques,

Possession of a valid NYS Driver's license and use of a registered and reliable vehicle.

Physical Demands/Work Environment:

The physical demands/work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, hear, stand, walk, use hands to type and/or perform light lifting. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.

Compliance:

Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed in accordance with CCFCS's corporate compliance & ethics program. Any offer of employment will be contingent upon successful completion of a background check. CCDOR considers all background check information in accordance with applicable law.

Top Benefits and Perks:

Competitive salary and 403b retirement plan

Generous time off package and work-life balance

Comprehensive benefits package

Supportive and collaborative environment

Opportunities for growth and development

Intrinsic reward of truly making a difference in people's lives

Join us and help make a positive impact in our community!

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.