This position will assist patients with financial review of Insurance out of pocket responsibility and/or Financial Assistance program or other referrals. Position is required to become a Certified Application Counselor for the ACA Marketplace to assist patients with insurance plans and understanding their subsidies, based on their ability to pay. Will also be responsible to verify third-party coverage for Inpatient/Outpatient pre-registered or registered account and to advise patients of co-pays, deductibles and other patient responsibility amounts and to collect as appropriate. Position will require the ability to understand financial statements and other financial documentation to assist patients with financial options available to them.
DUTIES AND RESPONSIBILITIES:
Assists patients and families in completing a financial statement.
Creates and approves payment arrangements; reviews with patient different payment options and possible financial assistance, i.e., state and local agencies, charity program and/or Insurance Marketplace options.
Processes financial assistance applications according to policy.
Must pass (within 3 months of initial hire) and maintain yearly certification as a Certified Application Counselor for the Insurance Exchange.
Reviews all patient self-pay accounts. Meets with patient/family to obtain a satisfactory payment agreement for all parties. Also, administers patient Bank loan program if appropriate.
Reviews patient charges; evaluates patient's assets and liabilities to determine patient payment schedules.
Ensures patient demographic and insurance information is correct in the computer system.
Documents all payment agreements in the computer database.
Documents all patient contact in the computer system.
Verifies all insurance demographic and coverage information; notifying patient of his/her financial responsibility and collecting those funds.
Prepares patient itemized bill upon request; explains charges, payments and adjustments.
Possesses extensive knowledge of billing, insurance and collections procedures.
Works in collaboration with our Medicaid Eligibility partner for referrals.
Maintains a good working relationship within the departments and with other departments.
Treats patients/families professionally, with respect and dignity.
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.
Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Demonstrates the ability to be flexible, organized and function under stressful situations.
Adheres to dress code.
Completes annual educational requirements.
Maintains regulatory requirements.
Wears identification while on duty.
Maintains confidentiality at all times.
Attends department staff meetings as required within the department.
Reports to work on time and as scheduled; completes work in designated time.
Represents the organization in a positive and professional manner.
Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Coordinates efforts in meeting regulatory compliance, federal, state and local regulations and standards
Communicates and complies with the Benefis Health System Mission, Vision and Values as well as the focus statement of the department.
Complies with Benefis Health System Organization Policies and Procedures.
Complies with Health and Safety Standards and Guidelines.
High School graduate or equivalent.
Post secondary education in accounting or related business field preferred.
Ability to review and understand financial statements, income verification, and tax returns, etc.
Completed medical terminology course.
Minimum of two years experience in medical billing, collections, insurance, coding required. Prior experience in bank loan processing, insurance sales or other financial intuitions will be considered.
ACA Certified Application Counselor certification (will be provided on the job)
As a not-for-profit community health system, Benefis is driven to provide the highest level of care. We serve nearly 230,000 residents across a 15-county region that is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined. Benefis is the largest non-governmental employer in the Great Falls area, with more than 3,000 employees. Benefis has 530 licensed beds (that includes 146 beds in long-term care, 71 in assisted living and 20 beds at Peace Hospice of Montana) and partners with over 250 area physicians.
Our hospital has been recognized for its exceptional work in quality care by providing a wide range of programs and services to help you live the best life possible. We’re here to help you “Live well.”
Benefis Health System came about when two Christian-based hospitals became one. Our founders believed in providing good care to all in need, and trusted that this would be accomplished. The Benefis name was derived using Latin root words: "Bene-" meaning good, and "fis-" for faith and trust. It’s these same root words that make up such terms as ‘beneficial’ a...nd ‘confidence'. Benefis has been a trusted provider of care for more than 125 years. And our name speaks to our commitment: good care one can put faith in.
Benefis is consistently ranked among America’s top hospitals by the nation’s leading healthcare ratings organizations for a range of services, including cancer care, joint replacement, stroke treatment, wound care and home health.
To learn more about our services, continue looking through our website at WWW.BENEFIS.ORG or call 406.455.5000.