Billing Specialist
OpenLoop
Patient Financial Counselor
Beth Israel Lahey Health
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- 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
Requirements
- High School Diploma required
- Maintains annual Certified Application Counselor (CAC) certification for the state of Massachusetts
- CAC Certification preferred; CPC Certification a plus
- 2-3 years' experience in Financial Counseling, Social Work, Case Work, Patient Access or Billing preferred
- Excellent customer service skills
- Excellent written and oral communication and interpersonal skills
- Must exhibit tact, diplomacy and discretion at all times
- Must be able to multi-task and work in a fast-paced, detail oriented environment
- Working knowledge of MS Office suite and database systems; ability to learn new systems
- EPIC system experience preferred
- Ability to travel between Burlington, Winchester, Peabody, and Beverly Hospitals
- Influenza (flu) vaccination required as a condition of employment
