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Evergreen Health · 1 day ago

Financial Counseling Specialist

Buffalo, NY

Full-time

Onsite

New Grad, Entry Level

$48K/yr - $50K/yr

0+ years exp

Evergreen Health is dedicated to providing culturally competent care and is currently seeking a Financial Counseling Specialist. This role focuses on assisting patients with insurance coverage and payment arrangements to ensure they receive necessary healthcare services, while also educating them on their benefits information.

Health CareMedicalNon ProfitService Industry

Responsibilities

Provides friendly, knowledgeable, culturally competent service to all patients

Verifies all patient insurance and financial info prior to appointments, and when needed, assists patients with any insurance or financial issues needing resolution prior to being cleared for appointments; places appropriate directive in EMR note for front desk staff

Assists patients with insurance enrollment through the NY State of Health Marketplace, along with tracking and assisting with any recertification needs

Advises self-pay patients, collects payments, and develops patient payment plans if needed

Screens patients for Sliding Fee Scale eligibility based on income and household size and completes applications with eligible patients

Contacts insurance companies to verify patient coverage levels to ensure all procedures are covered

Works with patients to educate them on their benefits information

Ensures that patient populations eligible for assistance programs receive enrollment assistance and information on all available coverage options

Develops tools and processes to ensure insurance is obtained for every patient, and acts as a liaison between clinic and billing staff to ensure smooth billing process

Collaborates with the billing staff regularly to ensure no claims are being rejected due to incorrect insurance information

Assists billing staff on other billing processes, including credentialing, posting payments, denial research, etc

Qualification

Insurance knowledgePatient registrationNYS Health Assistor certificationMS Office proficiencyTime managementCultural sensitivityProblem solvingOrganizational skills