Patient Financial Counselor

Job Description - Patient Financial Counselor (3294225)General Summary/ Overview Statement:The Patient Business Representative (PBR) is a great opportunity for a new graduate. The PBR functions as a financial counselor and registrar and is responsible for the in-depth evaluation of financial history for both uninsured and underinsured patients for the purpose of determining eligibility for government and pharmacy financial assistance programs. The PBR will serve as the primary practice contact when patients require assistance with various billing/financial related issues, which cannot otherwise be resolved by the Practice Service Representative. The PBR will have a strong working knowledge of all aspects of the billing/revenue cycle, managed care requirements, coding and compliance. Utilizing a variety of available resources and contacts the counselor will assess and work towards the resolution of identified patient fiscal issues. The PBR will work collaboratively with BWPO Practice Management, Patient Accounts, BWH Customer Service, Patient Relations, BWPO Billing Agencies, the Office of General Counsel, and State Agencies, e.g., EOHHS, DHCFP, etc.Principal Duties and Responsibilities:Responsible for screening patients for MassHealth, CarePlus, Connector Care, Health Safety Net, assisting in the application process when appropriate.The PBR will keep track of all cases using ONTRAC as well as a paper tickle file system.Acts as patient representative in any cases submitted via the Health Connector, assisting the patient in deciphering notices received from EOHHS.Assists patients in applying for pharmaceutical assistance programs (PAP), acting as liaison between PAP representatives and the patient or physician office.Assists Medicare patients in applying for Low Income Subsidy for Medicare Part D.Assists patients in applying for and/or understanding all other financial assistance programs or low cost insurance plans.Acts as a liaison between the patients, hospital billing department and BWPO practices/billing agencies in addressing any billing related inquiries and issues.Counsels and advises patients of discount options available according to Partners guidelines.Investigates managed care related issues with the payer and the Patient Service Center.Fosters a positive relationship with assigned practice management, shares relevant findings, and enhances understanding of patient concerns.Maintains a daily workflow queue of patient and practice billing issues and their outcome in ONTRAC.Works on special projects, cover other services and/or locations, and other tasks when necessary.Qualifications:Bachelor’s degree or equivalent relevant experience required.Certified Applications Counselor (CAC)Prior experience with financial assistance or Government related programs preferred.Knowledge of medical terminology helpful.Familiarity with a hospital legacy system, Microsoft Office and Share Point preferred.Demonstrated excellent customer service abilities.Proficiency in oral and written communication.Adeptness in assessing and solving problems, excellent organizational skills, ability to prioritize.Knowledge of revenue cycle particularly with regard to insurance reimbursement and managed care referral requirements.Ability to effectively interact with various levels of the organization.Ability to work independently, with minimal supervision.BWH is an Affirmative Action Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.

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