Sr. Financial Counselor (Inpatient Insurance Coverage Clearance) (10 hours per day, 4 days a week)

JOB SUMMARY:
Develops financial plans for patients who may be uninsured or under-insured with minimal guidance. Screens patients and facilitates referral to state/other funding resources. Conducts follow-up on in-house and discharged accounts.


KEY RESPONSIBILITIES:

• Conducts personal interview of patients gaining all required demographic and financial information.
• Verifies insurance coverage and benefit packages.
• Educates and assists patient with application other funding programs when criteria are met.
• Conducts follow-up on pending applications to ensure appropriate disposition of account.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES:

INSURANCE REGULATORY KNOWLEDGE (INTERMEDIATE): - Demonstrates knowledge of the appropriate rules and regulations for insurance policies, claims, payment and coverage. Ability to interpret and explain rules and regulations that are ambiguous or unclear.

COMMUNICATION OF RESULTS (INTERMEDIATE): - Communicates results and recommendations to customers in a concise and non-technical format. Clearly states implications and potential next steps. Presents analysis, ideas, and findings using the appropriate data visualization and presentation tools [such as Word, Excel, Tableau, and PowerPoint].

PROBLEM SOLVING (INTERMEDIATE): - Uses critical thinking and process improvement i.e. coaches and mentors development of problem statement, describes current state, identifies root causes, creates future state, coaches and mentors development of solutions and action plans with a sustainability plan. Applies appropriate tools to address issues.

CORE ACCOUNTABILITIES:

• Organizational Impact: Performs non-routine tasks that significantly impact team's performance with minimal guidance.
• Problem Solving/ Complexity of work: Conducts research and analysis to solve some non-routine problems.
• Breadth of Knowledge: Applies broad job knowledge and has basic job skills in other areas.
• Team Interaction: Provides informal guidance and support to less experienced team members.