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Financial Assistance Specialist-1

Role overview

Summary

This role focuses on generating patient estimates and resolving financial issues prior to services being rendered at UMass Memorial Health. You will support the Financial Counseling team by assessing patient coverage gaps and ensuring accurate financial information is communicated.

Qualifications

  • High school diploma or equivalent.
  • Strong intrapersonal and communication skills.
  • English speaking, reading and writing skills.
  • Preferred: Previous estimation, authorization, insurance referral, and telephone customer service experience.
  • Preferred: Associates degree in business or healthcare-related field.

Responsibilities

  • Prepare patient estimates for the UMMH system.
  • Collaborate with estimate requests initiated by patients, clinics, and physician offices.
  • Verify insurance eligibility and coverage utilizing available technologies or by phone contact with third party payors.
  • Schedule patient appointments with Financial Counseling.

Key facts

  • Remote from: United States
  • Full time
  • $40K – $56K / year
  • English

Hard skills

Other skills

  • Customer Service
  • Communication
  • Social Skills
  • Problem Solving

About the company

UMass Memorial Health logo

UMass Memorial Health

  • Hospitals & Health Systems
  • 10,001+
UMass Memorial Health is the health and wellness partner of the people of Central Massachusetts. Through pain and pandemics, our commitment to our communities never wanes. We use knowledge and innovation to create breakthrough medicine, to create jobs, and to make life better for those we serve. We are leaders in the training of physicians and those who work in every facet of health care. We make outstanding care accessible for all, regardless of ability to pay. We stand for quality, compassion, dignity, opportunity and fairness. And we are relentless in our pursuit of healing. UMass Memorial Health is the largest health care system in Central Massachusetts. We are the clinical partner of the University of Massachusetts Chan Medical School, with access to the latest technology, research and clinical trials. UMass Memorial Health: Locations in Central Massachusetts Our locations include: • UMass Memorial Medical Center (Worcester) • UMass Memorial Health – HealthAlliance-Clinton Hospital (Fitchburg, Clinton and Leominster) • UMass Memorial Health – Marlborough Hospital (Marlborough) • UMass Memorial Health - Harrington (Southbridge, Webster) • UMass Memorial Health - Milford Regional (Milford) • Community Healthlink (Worcester, Leominster) We have an affiliation with CareWell Urgent Care to provide regional urgent care services. Also, the UMass Memorial Medical Group provides high quality, low-cost outpatient surgery services at The Surgery Center in Shrewsbury. UMass Memorial Health Care by the numbers: 2,400 physicians on our active medical staff 3,000 registered nurses 20,000 total employees 1,200 beds in our hospitals

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Job description

Are you a current UMass Memorial Health caregiver? Apply now through Workday.

Exemption Status:

Non-Exempt

Hiring Range:

$20.94 - $29.27

(based on a full time schedule of 40 hours per week).

Please note that the final offer will vary based on scheduled hours. Compensation for part-time or reduced schedules will be prorated based on scheduled weekly hours, experience, skills, qualifications, and internal equity considerations.

Schedule Details:

Monday through Friday

Scheduled Hours:

8am to 4:30pm

Shift:

1 - Day Shift, 8 Hours (United States of America)

Hours:

40

Cost Center:

99940 - 5480 Financial Counseling

Union:

SHARE (State Healthcare and Research Employees)

This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.

Everyone Is a Caregiver

At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day.

Perform a variety of complex duties utilizing insurance and payor knowledge to generate estimates for the UMMH system. Collects patient liabilities prior to service and resolves any insurance and financial issues prior to services being rendered. Provides support to Financial Counseling.

I.    Major Responsibilities: 
1.    Prepares patient estimates for the UMMH system.
2.    Collaborates with estimate requests initiated by patients, clinics, physician offices and Financial Counseling.
3.    Escalates estimate and payment issues to management as they are identified.
4.    Schedules patient appointments with Financial Counseling.
5.    Assesses gaps in patient coverage to determine patient financial exposure prior to rendering service. 
6.    Verifies insurance eligibility and coverage utilizing available technologies, payor websites, or by phone contact with third party payors.
7.    Enters clear, concise notes concerning financial status in system based on communications.  
8.    Consistently applies the Financial Assistance and Credit & Collection Policy in all patient cases.  
9.    Performs updates and corrections to patient demographic and insurance information.
10.    Receives and processes patient payments.
11.    Proactively identifies opportunities for workflow improvements when working estimates.
12.    Knowledge of all aspects of Financial Counseling. 
13.    Consistently demonstrates ability to respond to changing situations in a flexible manner to meet current needs, such as reprioritizing work as necessary. 

Standard Staffing Level Responsibilities:  
1.    Complies with established departmental policies, procedures, and objectives.
2.    Attends variety of meetings, conferences, seminars as required or directed.
3.    Demonstrates use of Quality Improvement in daily operations.
4.    Complies with all health and safety regulations and requirements.
5.    Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to               creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6.    Maintains, regular, reliable, and predictable attendance.
7.    Performs other similar and related duties as required or directed.
All responsibilities are essential job functions.
II.    Position Qualifications:
License/Certification/Education:
Required:
1.    High school diploma or equivalent.
Preferred:
1.    Associates degree in business or healthcare-related field.
Experience/Skills:
Required:
1.    Strong intrapersonal and communication skills.
2.    English speaking, reading and writing skills.
Preferred:
1.    Previous estimation, authorization, insurance referral, and telephone customer service experience.
2.    Previous experience in a health care organization.
3.    Bilingual speaking, reading, and writing skills. 

Unless certification, licensure or registration is required, an equivalent combination of education and experience which provides proficiency in the areas of responsibility listed in this description may be substituted for the above requirements.
Department-specific competencies and their measurements will be developed and maintained in the individual departments.  The competencies will be maintained and attached to the departmental job description. Responsible managers will review competencies with position incumbents.
III.    Physical Demands and Environmental Conditions:
Work is considered sedentary. Position requires work indoors i
 

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We’re striving to make respect a part of everything we do at UMass Memorial Health – for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.

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