Financial Counselor

Altru Health System
Grand Forks, ND
Full-time

Location :

Altru 1300 Columbia1300 S. Columbia Rd.Grand Forks, ND 58201Pay Range : $17.07 - $25.60

Summary :

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,claimsubmission,billing,andgeneralBusinessOfficeprocedures.

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 billingquestions.

Evaluates,develops,andimplementsactionplanstoarrangepaymentof 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.

Reviewsassignedinpatientadmissionsandvisitspatientand / orfamilymembersonfloors to obtain required information.

Performs account analysis and educates guarantors regarding payment issues on outstandingpatientbalances.Reviews,verifies,andevaluatesdemographicandthird-party payer information as they are related to patient accounts.

Processesassignedcomputergeneratedbillsandpostspaymentsand / oradjustmentson 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

Physical Demand s :

  • Sit : Continuously (67-100%)
  • Stand : Occasionally (5-33%)
  • Walk : Occasionally (5-33%)
  • Stoop / Bend : Occasionally (5-33%)
  • Reach : Frequently (34-66%)
  • Crawl : Not Applicable
  • Squat / Crouch / Kneel : Occasionally (5-33%)
  • Twist : Occasionally (5-33%)
  • Handle / Finger / Feel : Continuously (67-100%)
  • See : Continuously (67-100%)
  • Hear : Continuously (67-100%)

Weight Demands :

  • Lift -Floor to Waist Level : Sedentary (
  • Frequent Drivers : Persons whose main responsibility is not driving, but drive daily or almost daily.
  • Occasional Drivers : Persons who drive from once per month to as frequently as once per week.
  • Infrequent Drivers : Persons who are generally not expected to drive.

Driving Requirement for this position :

Occasional DriverReference ID : R4409

30+ days ago
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