Careers
04-34854

Financial Counselor/Client Services - Federally Qualified Health Center

Location: Pleasantville, NJ  |  Position Status: Full Time  |  Position Shift: Days
Minimum Qualifications:
  • High school diploma or equivalent is required.
  • Ability to read, speak and write in English required.
  • Attendance of all mandated federal-facilitated market base training required.
  • Application Counselor certification required within 6 months from date of hire or transfer.
  • Medicaid/Presumptive Eligibility certification within 6 months from date of hire or transfer.
  • Minimum 3 years of medical/billing insurance experience required.
  • Strong communication, math, interpersonal and organizational skills required.
  • Ability to problem solve and work independently with little supervision.
  • Bilingual ability in Spanish required.
 
POSITION SUMMARY
The financial counselor promotes awareness of the healthcare marketplace exchange and expanded New Jersey Medicaid. The position assists with enrollment of eligible consumers into a health plan. The financial counselor provides office support at the front desk. The financial counselor is responsible for the initial patient registration process, conducting billing inquiries, making payment arrangements, maintaining patient financial records and collecting co-payments and deductibles. The financial counselor will be knowledgeable of state and federal government funding programs, such as Medicare, Medicaid and TRICARE/CHAMPUS; workers' compensation; commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; insurance terminology; medical terminology; and HIPAA privacy and compliance practices. The financial counselor is responsible for the New Jersey Uncompensated Care, also known as Letter of Agreement (LOA) and Wrap-Around. The financial counselor conducts monthly audit with AIT and Finance to provide LOA data.

The counselor ensures timely and organized scheduling of patient appointments, enters patient insurance information and client information into the computer, and provides accurate financial information to clients. The financial counselor is considered a customer service champion responsible for delivering great customer service at each entry point throughout the health system. The financial counselor must be able to independently perform insurance management and internal LOA audits. Attends all recommended department meetings and in-services.

This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.

QUALIFICATIONS
  • EDUCATION: High school diploma or equivalent is required. Ability to read, speak and write in English required.
  • LICENSE/CERTIFICATION: Attendance of all mandated federal-facilitated market base training required. Application Counselor certification required within 6 months from date of hire or transfer. Medicaid/Presumptive Eligibility certification within 6 months from date of hire or transfer.
  • EXPERIENCE: Minimum 3 years of medical/billing insurance experience required. Strong communication, math, interpersonal and organizational skills required. Ability to problem solve and work independently with little supervision. Bilingual ability in Spanish required.

PERFORMANCE EXPECTATIONS
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.

WORK ENVIRONMENT
This position requires reaching, stooping, kneeling and crouching approximately 25% of the workday. This position also requires frequently lifting, approximately 25-30 pounds, and occasional lifting of 50-100 pounds with assistance.

The essential functions for this position are listed on the Assessment and Evaluation Tool.

REPORTING RELATIONSHIP
This position reports to department leadership.

The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Nicholas Papandrew
Applicants only. We are not accepting inquiries or solicitations from recruiters/search firms.

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