Financial Counselor, Sheldon Center, Full Time, Days

Spectrum Health   Grand Rapids, MI   Full-time
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Job Description

Job Summary

The Financial Counselor assists patients and family members in financial interactions related to their health care expenses. By establishing relationships, they serve as a patient advocate and educator in order to assist in navigating through available resources to fund their health care expenses. The Financial Counselor works closely with clinical providers (i.e. physicians, case managers, executive administrators) to provide financial guidance that will support the clinical needs of our patients throughout the Spectrum Health delivery system.

Essential Functions

  • Conducts in-person interviews and consults with patients and their families, which may include travel to multiple locations or home visits.
  • Acts as the liaison between the patient and intake, registration or clinical staff, as well as outside organizations, on matters related to assisting the patient with securing a funding source.
  • Investigates and makes recommendations on complex cases to secure third party funding sources including, but not limited to Medicaid, Medicare, auto, workers' compensation, COBRA, crime victims compensation, access to insurance exchange, liability coverage and grants.
  • Participates in continuing education in order to stay current on relevant patient funding sources, Financial Assistance Policies, and Patient Financial Interaction Best Practices.
  • Acts as the liaison between the price estimator and the patient.
  • Responds to patient inquiries and provides on-site consultation and support as a liaison for billing, collections and denial management questions as needed, which may include collecting patient deposits or setting up payment arrangements if requested by the patient.
  • Communicates and collaborates with patients and their families to resolve financial barriers to care.
  • Evaluates qualification for financial assistance which may include Propensity to Pay evaluation and/or completion of the application process.

Qualifications
  • Required High School Diploma or equivalent
  • Preferred Associate's Degree or equivalent customer service, health services, health care administration, information technology, business or accounting
  • 2 years of experience typically gained through skills/knowledge/abilities health care revenue cycle or equivalent, customer service, medical billing/third party payers, Microsoft Office, financial/mathematical skills, or business office experience Required
  • CRT-Application Counselor (CAC) - CMC Centers for Medicare & Medicaid Services 60 Days required

    Primary Location

    SITE - Sheldon Center - 75 Sheldon Blvd - Grand Rapids

    Department Name

    Financial Counseling

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    8am-4:30pm

    Days Worked

    Monday-Friday

    Weekend Frequency

    N/A

    Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.

    Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

    Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

    category. See more here.

    This job is no longer available.

    Spectrum Health

    Grand Rapids, MI