Financial Counselor

Tufts Medicine • Boston, MA • 2d ago

Location: Onsite at Tufts Medical Center

Hours: 40 hours per week; Monday through Friday from 8:00 AM to 4:30 PM

Job Profile Summary

This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Patient Financial Services duties: Facilitates the reimbursement for clinical services provided to patients. Submits claims to health insurers, follows up with health insurers about submitted claims, and performs appeals for non-clinical denials, etc. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An entry level role that typically requires little to no prior knowledge or experience, work is routine or follows standard procedures, work is closely supervised, and communicates information that requires little explanation or interpretation.

Job Overview

The position coordinates insurance verification and financial counseling for all patients within Tufts Medicine. This includes outpatient, inpatient, and ED patients. The position will assist and educate all uninsured and underinsured patients through the process of obtaining benefits so they can access the care they need and to ensure reimbursement to Tufts Medicine for the services provided.

Job Description

Minimum Qualifications:

High school diploma or equivalent

CAC Certification required within 4 weeks of hire

Preferred Qualifications:

Associates Degree

Three (3) years of hospital/health care experience in the areas of Patient Access

Experience with hospital information systems

One (1) year of hospital/health care experience in the areas of Patient Access

Valid driver's license is required for local travel to remote hospital sites

Duties and Responsibilities: The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list. Other duties and responsibilities may be assigned.

Ensures that all appropriate demographic and insurance information is captured on each inpatient admission. Verifies eligibility and benefit levels by the next business day following the date of admission.

Responsible for identifying patients who are Medicaid eligible and completing Medicaid applications for patients who fall within the Medicaid assistance guidelines. This includes interviewing family members, attorneys, outside social service agencies or other professionals as needed in order to obtain the information necessary to complete this process. Information pertaining to asset and income verification will also be required.

Meets with patients in the ED or inpatient care setting.

Communicates effectively and timely with patient/family and other colleagues within Tufts Medicine

Works collaboratively with Case Management, Social Work, MDs and other clinical team members.

Clearly documents all work completed in EMR.

Follows applications from submission through final decision. Updates EMRs accordingly and communicates with patients/families of the final decision and any next steps that need to be completed.

Assists patients with enrollment in Managed Care/ACO plans, enrollment via the Health Connector, employer sponsored insurance/COBRA, or Medicare plans.

Assists patients in applying for Tufts Medicine Financial Assistance application. Follows application from submission through final determination.

Assists patients in applying for disability benefits when applicable.

Monitors EPIC work queues assigned and meets daily/weekly productivity standards

Maintains current knowledge applicable to their role/position.

Maintains CAC Certification.

Physical Requirements:

Frequent sitting, occasional standing & walking, and lifting of 5-10 lbs

Mental requirements will be intense at times with involvement in many concurrent multi-faceted projects

Requires manual dexterity using fine hand manipulation to operate a computer keyboard or related equipment

Requires ability to see computer screen, monitoring equipment and reports

Skills & Abilities:

Knowledge of hospital and medical terminology experience

Familiarity with third party plans and medical billing

Knowledge of Masshealth/Medicaid system

4.. Must communicate effectively with co workers and leadership.

Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home - an expansive home care network, and large integrated physician network. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org .

Similar Jobs

Deputy General Counsel

Dept of Elementary & Secondary Education • Everett, MA • 15h ago

Legal & Paralegal

The Legal Office of the Department of Elementary and Secondary Education (DESE) advises the Board of Elementary and Secondary Education (BESE), Commissioner and DESE staff on issues of education law, policy and administr...

15h ago

Go to Apply

Paralegal

Robert Half • Quincy, MA • 16h ago

Legal & Paralegal

Description We are seeking a highly skilled and detail-oriented Domestic Relations Family Law Paralegal to join our legal team in Massachusetts. The ideal candidate will have solid experience supporting family law attorn...

16h ago

Go to Apply

FINANCIAL AID COUNSELOR, ENROLLMENT & STUDENT ADMINISTRATION, Financial Assistance

Boston University • Boston, MA • 16h ago

Legal & Paralegal

FINANCIAL AID COUNSELOR, ENROLLMENT & STUDENT ADMINISTRATION, Financial Assistance Job Description FINANCIAL AID COUNSELOR, ENROLLMENT & STUDENT ADMINISTRATION, Financial Assistance Category Charles River Campus...

16h ago

Go to Apply

Attorney

Evolent • Boston, MA • 1d ago

Legal & Paralegal

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to conn...

1d ago

Go to Apply

District Court Paralegal

State of Massachusetts • Salem, MA • 1d ago

Legal & Paralegal

District Court Paralegal A Paralegal assigned to the District Court Division works under the supervision of the District Court Assistant District Attorney Supervisor and primary responsibilities include providing support...

1d ago

Go to Apply

Legal Assistant

Robert Half • Boston, MA • 2d ago

Legal & Paralegal

Description We are looking for a detail-oriented Legal Assistant to support litigation efforts in Boston, Massachusetts. This is a long-term contract position ideal for someone with experience in civil litigation and leg...

2d ago

Go to Apply

Corporate Counsel, Specialty Care

Sanofi Group • Cambridge, MA • 2d ago

Legal & Paralegal

Job Title: Corporate Counsel, Specialty Care Location: Cambridge, MA Morristown, NJ About the Job Ready to push the limits of what's possible? Join Sanofi in one of our corporate functions and you can play a vital part i...

2d ago

Go to Apply

Corporate Counsel

Autodesk • Boston, MA • 3d ago

Legal & Paralegal

Job Requisition ID # 25WD90064 Position Overview: Autodesk is seeking an enthusiastic product attorney who enjoys partnering with business colleagues to understand their objectives, ensure product readiness, and help sol...

3d ago

Go to Apply

Deputy General Counsel

State of Massachusetts • Everett, MA • 5d ago

Legal & Paralegal

The Education Secretariat is committed to equity and values the unique and diverse characteristics and experiences of every member of its workforce. We encourage an authentic workplace where colleagues show up as their f...

5d ago

Go to Apply

Legal Support Assistant

Akin Gump Strauss Hauer & Feld LLP • Boston, MA • 5d ago

Legal & Paralegal

Location: Boston, MA Schedule: 9:00 AM to 5:30 PM, FLSA: Non-Exempt Position Type: Full-Time/Regular Akin Gump Strauss Hauer & Feld LLP is a leading international law firm with more than 900 lawyers in offices throug...

5d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.