Counselor

• On-site Patient Financial Counselor at Exeter Hospital, acting as liaison for patients to the health system
• Screen patients for MassHealth and other state programs such as Connector Care
• Provide guidance and support for billing concerns, insurance options and benefits, gaps in coverage, and payment options
• Assist with patient statements, payment plans, pricing estimates, Financial Assistance, Federal/State benefits, and managed care process
• Support Patient Access and both Hospital and Professional Billing areas; work in conjunction with Customer Service
• Help patients understand Explanation of Benefits (EOB) including insurance policies and covered services
• Coordinate with departments, providers, and outside stakeholders to resolve patient financial concerns and secure coverage
• Follow protocols to communicate financial counseling actions prior to scheduling procedures that may not be covered by insurance
• Provide timely estimates for services in compliance with CMS price transparency regulations
• Collect payments for self-pay patients, including pre-payments, copayments, deductibles, and outstanding balances
• Educate and enroll qualified patients in payment plans per leadership guidelines
• Screen and approve patients for Financial Assistance (Charity) following policy guidelines
• Visit inpatients and outpatients when appropriate to discuss coverage applications and payment options
• Support MassHealth/Medicaid Open Enrollment and process necessary applications
• Address Managed Care concerns and work directly with Customer Service for account adjustments, statement generation, or billing errors
• Travel between specified hospitals as needed and work on assigned projects
• Adhere to corporate and governmental compliance, Cash and Collection Policies, and Customer Service standards

Patient Financial Counselor

Patient Assistance Counselor

Financial Counselor

Personal Financial Counselor

Counselor 2

Admission Counselor