Senior Financial Case Manager

Role Overview

• The Financial Case Manager
• Senior is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process.
• Assists under-insured patients by screening for secondary coverage options, applying for financial assistance and other government based programs.
• This person assists patients with setting up interest free payment plans and work closely with Patient Financial Services to help resolve coordination of benefits (COB) issues.
• Assists residents in applying for and recertifying in Medicaid coverage, interviewing and screening resident and family for financial history.
• Investigating and obtaining financial documentation needed from banking institutions, financial markets, pension programs, and investment firms.
• Works closely with system and outside attorney agencies as well as the Department of Social Services.
• Conveys courtesy, dignity, respect, and a positive attitude with all individuals.
• Ensures timely completion of release of information forms, patient financial information, and other applicable forms per policy.
• Maintains accurate spreadsheets and databases per department standards.

Requirements

• Associates Degree in related field with four years of experience preferred or an equivalent combination of work experience in financial counseling, long term care setting, healthcare billing or customer/patient service is required.
• Three or more years of Medicaid enrollment experience required.
• Completion of the Certified Application Counselor (CAC) training within 6 months of employment.
• Base knowledge of health care governmental assistance programs, guidelines, and application procedures.
• Able to communicate and respond to inquiries; requires effective interpersonal skills and ability to interact with the patients to explain payment policies and persuade patients to settle account balances.
• Ability to manage multiple concurrent assignments in a fast-paced environment.
• Ability to utilize Care Connect system effectively and accurately upon initial completed training.
• Writing and editing skills to prepare grammatically routine business correspondence; such as email and letters.
• Ability to maintain confidentiality of all medical, financial, and legal information.

Benefits

• N/A