Financial Counselor Insurance Verification Full Time Days
Baystate Health - Brightwood, MA

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About Baystate Health

Baystate Health is an integrated health care delivery system serving a population of nearly 1 million people in western Massachusetts. We are one of the largest health systems in New England with over 10,000 employees, three hospitals, and over 60 medical practices. Baystate Medical Center is the Western Campus of Tufts University School of Medicine, has the only Level 1 Trauma Center in the region and the only neonatal and pediatric intensive care units.

Responsibilities

Under the direction of the Coordinator, Insurance and Financial Counseling, provide financial counseling services to patients, in assigned inpatient and outpatient settings. Secure sponsorship for uninsured/underinsured patients: Screen patients for eligibility for a variety of grant or governments sponsored programs. Assist patients in completing applications for Mass Health, Free Care, Healthy Start, Children’s Security Plan and any other agency that will provide financial aid. Track status of initiated applications to facilitate and expedite the approval process. Arrange payment plans for patients as necessary. Identify and counsel Medicare Patients without secondary insurance and assist with applications for supplemental coverage. Follow up with patient previously enrolled in Mass Health or HealthNet programs to complete re-determination process. Counsel patients approved for Mass Health Basic or Essentials to select a Managed Care Plan and Primary Care Clinician. Ensure all billing information has been obtained for liability cases. Counsel parents to ensure coverage for their newborns. Adheres to system and department compliance policies any and all applicable laws and regulations.

Qualifications

High School Diploma or equivalent is required. Bilingual (English/Spanish) required.

Knowledge of hospital billing functions and applications. Knowledge of all MassHealth coverage types and programs. Knowledge of Medicare benefits and the ability to read and understand the CWF. Proficient in completion of disability applications. Proficient in counseling both outpatients and inpatients. Knowledgeable in a variety of alternate sources of financial aid. Achievement and sustainment of productivity targets and quality assurance targets. Solves problems independently. Resource to team. Team Player, Commitment, Flexibility, Problem-solving, Communication, Service Excellence, Organizational Awareness, Learning, Personal Responsibility and Emotional Maturity.

Other Information

BILINGUAL (ENGLISH/SPANISH) REQUIRED.

Full-time, 40 hours per week. Schedule: Monday through Friday, 8:00am - 7:00pm, Occasional Coverage at the North Campus;

Testing Requirements: Typing 25 WPM with 3% error rate or less, Alphanumeric and Numeric tests will be administered.

Please submit a Resume and Cover letter with your application.

May underfill position with a Financial Counselor I, II, level dependent upon experience and mastery of previous level.

How to Apply

Please submit your application via the internet. If you wish to apply in person you can come to the following locations and submit an on-line application:

Baystate Health
280 Chestnut Street
Springfield, MA

Baystate Mary Lane Hospital
85 South Street
Ware, MA

Baystate Franklin Medical Center
164 High Street
Greenfield, MA

Equal Employment Opportunity

Baystate Health is an equal opportunity employer committed to an inclusive and diverse workforce. Baystate Health recruits, hires, promotes and transfers qualified persons into all job classifications without regard to race, color, religion, national origin or citizenship status, sex, gender identity or expression, pregnancy, sexual orientation, age, disability, or military status. Baystate Health, in all its employment actions, also takes affirmative action to achieve prompt and full utilization at all levels and in all segments of the work force of minorities, women, Vietnam-era or disabled veterans, and disabled individuals.

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