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Financial Counselor & Account Services Specialist

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Location: Buffalo, NY, United States

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Job Description

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours: 8:00am to 4:00pm

Summary:

The primary responsibility of a Financial Counselor & Account Services Specialist is to represent all Catholic Health (CH) ministries to our patients and families in a friendly, positive, and effective manner. Expectations of this role include providing exceptional customer service, striving to anticipate and meet the needs of each patient, treating all patients, families, and colleagues with dignity and respect, and working collaboratively with colleagues to achieve quality and performance standards. A Financial Counselor specializes in the Medicaid and NYS of Health Exchange application process, evaluates what is needed to submit an application, resolves when able or delegates to the appropriate party to handle with follow up through completion. This individual also works directly with the NYS of Health and other external vendors to create and maintain relationships and is responsible for direct interaction and discussion/resolution of issues with both Medicaid, external and internal stakeholders (patients, families, and responsible parties). This individual will provide information in regard to expected coverage and patient liability, collect payments or work with patients, families, and responsible parties to establish payment plans and healthcare assistance, when applicable. This individual will work with other departments to identify self pay patients prior to their dates of service in order to assist these patients with obtaining healthcare coverage, or provide a pricing estimate and arrange payment.

Responsibilities:

EDUCATION
  • Bachelors Degree required
  • An Associates Degree and two (2) years of experience in customer service or financial counseling may be substituted for a Bachelors or
  • Five (5) years of customer service or financial counseling experience may be substituted for a Bachelors
  • Active certification with NYS of Health as a Certified Application Counselor within sixty (60) days of hire
EXPERIENCE
  • Previous experience in customer service, financial counseling, or other customer-facing roles
  • Demonstrated experience using independent judgement and making decisions within given policy guidelines
  • One (1) year of experience with the NYS of Health as a NYS Assistor preferred
  • Knowledge of Federal and State laws related to charity care and collection practices preferred
  • Healthcare billing experience preferred

KNOWLEDGE, SKILL AND ABILITY
  • Must be able to speak, write and understand the English language
  • Superior customer service required
  • Maintain current, active NYS of Health Assistor certification
  • Microsoft Office Suite
  • Highly motivated self-starter with ability to work independently
  • Knowledge and experience with current online insurance verification tools
  • Knowledge of current government assistance programs, guidelines and application process, specifically NYS of Health
  • Knowledge of Federal, State and Local insurance payors
  • Familiarity with federal and state regulations
  • Excellent written and verbal communication skills
  • Project Management skills, preferred

WORKING CONDITIONS
  • Travel across CH sites
  • Central Business Office Environment
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