Financial Counselors assist patients in applying for local, state, and federal assistance and are certified to assist with the Federal marketplace. They are certified in assisting patients in applying for Hospital Presumptive Eligibility through the state of North Dakota and Minnesota and assist with Altru's internal charity programs such as Community Care, Charity, and assistance through the Altru Foundation. Financial Counselors serve as liaisons between external organizations and assist in gathering documents to support eligibility and appeals. Financial counselors represent Altru's HERO program in community outreach events and work with self-pay patients to collect pre- payments while also counseling and educating patients on their insurance benefits and connecting patients with external resources when needed.
Essential Job Functions:
Receives and responds to patient, professional, and clinical inquiries in person or by telephone and provides accurate processing and billing support. Explains insurance benefits, payments, claim submission, billing, and general Business Office procedures.
Acts as the primary contact for customers, clinical, and support staff via phone calls, e- mails, and written correspondence to resolve problems, concerns, insurance, coding, and billing questions.
Evaluates, develops, and implements action plans to arrange payment of outstand balances. Resolves and documents all issues and concerns that are received.
Assists guarantors who have minimal or no insurance coverage to determine a course of action to maximize prompt payment and minimize bad debt.
Reviews assigned inpatient admissions and visits patient and/or family members on floors to obtain required information.
Performs account analysis and educates guarantors regarding payment issues on outstanding patient balances. Reviews, verifies, and evaluates demographic and third-party payer information as they are related to patient accounts.
Processes assigned computer generated bills and posts payments and/or adjustments on assigned accounts.
Completes documentation/paperwork for patients regarding pharmaceutical assistance programs.
Maintains computer program related to Prescription Assistance Program.
Performs other duties as assigned or needed to meet the needs of the department/organization.
Certification:
Certified Application Counselor (CAC) | Health Insurance Marketplace | Within 6 Months of Start Date | HR Primary Sources
Driver's License with Acceptable Driving Record | Driver's License - Current State Licensed | Prior to Start Date | HR Primary Sources
Education:
• Preferred: Associates - Business
Work Experience:
• Required: A minimum of 2 years Related Experience
