Outpatient Financial Counselor

Boston Medical Center (BMC)

. Under the general direction of PFC Manager, the Outpatient Financial Counselor (OPFC) has a dual role to help vulnerable BMC patients to access healthcare coverage and to preserve and protect BMC revenue by securing payors to reduce uncompensated care.

Posted 5/7/2026part-timeBoston • Massachusetts • 🇺🇸 United StatesMid-LevelSenior💰 $25 - $31 per hourWebsite

About the role

Key responsibilities & impact

Under the general direction of PFC Manager, the Outpatient Financial Counselor (OPFC) has a dual role to help vulnerable BMC patients to access healthcare coverage and to preserve and protect BMC revenue by securing payors to reduce uncompensated care.
The OPFC serves as an advocate and navigator, assisting low-income, uninsured and underinsured patients apply for financial assistance programs and secure healthcare coverage.
Assist patients referred for financial counseling, in person or by phone, from PFC office locations on the hospital campus.
Screen patients presenting for services, by appointment or walk-in, for eligibility and offer enrollment assistance to secure insurance coverage through MassHealth, Out of State Medicaid, HSN, or BMC’s Charity Care Program.
Responsible for initiating new applications and assisting with program renewals; educating patients about health insurance options and eligibility requirements; updating patient demographic information, opening financial trackers, and documenting all efforts made to assist patients in applying for insurance coverage.
Maintain daily written reports of work activity to document patient enrollments and outcomes; patient complaints and resolutions; patient declinations, etc.
Provide education and advisement on health insurance options and enrollment requirements for other hospital departments, community health centers, community leaders and other personnel as needed.

Requirements

What you’ll need

High School diploma with 3-5 years of strong customer service experience in healthcare or human services setting required
Bachelor's degree strongly preferred
Must complete MassHealth’s curriculum for Certified Application Counselor (CAC) and maintain certification renewal annually
Individual must complete training and obtain CAC certification within 45 days of hire date
Work experience to include 2-3 years of strong customer service experience, preferably in a healthcare or human services setting.
Bilingual persons and persons with hospital and/or healthcare experience strongly preferred.
Demonstrates professionalism, maturity, and confidence needed to work effectively in a diverse, multi-cultural, and decentralized environment.
Strong, consistent communication skills (oral and written), interpersonal skill, and record keeping skills.
Knowledge and understanding of eligibility criteria and application process for programs offered through MassHealth, Health Safety Net, ConnectorCare, and BMC’s Charity Care Program.
Strong organizational skills with ability to manage multiple tasks simultaneously; prioritize work assignments appropriately; and complete follow up task timely.
Strong work ethic and ability to meet performance goals for productivity and outcomes with minimal direct supervision.
Critical thinking and sound judgment in addressing and resolving barriers, issues, or concerns identified.
Strong technical computer skills and proficiency in utilizing Epic and external database systems to research cases and successfully assist patients in securing active coverage.
Exceptional customer skills and the ability to engage patients, family members, and team members respectfully, with empathy and cultural sensitivity.

Benefits

Comp & perks

medical, dental, vision, pharmacy
contract increases
Flexible Spending Accounts
403(b) savings matches
earned time cash out
paid time off
career advancement opportunities
resources to support employee and family wellbeing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

customer servicefinancial counselingeligibility screeninginsurance enrollmentrecord keepingcritical thinkingproblem resolutiontechnical computer skillsdata management

Soft Skills

communication skillsinterpersonal skillsorganizational skillsprofessionalismmaturityconfidenceempathycultural sensitivityability to manage multiple taskswork ethic

Certifications

Certified Application Counselor (CAC)