Financial Case Manager - Senior
Core
Review uninsured/under-insured patient accounts, verify insurance, apply for financial assistance/government programs, and establish payment plans.
Role type
Senior Financial Case Manager (Healthcare)
Builds
Patient financial assistance applications, Medicaid recertifications, payment plans, and coordination of benefits resolutions.
Domain
Healthcare / Long Term Care / Medicaid Administration
Deliverable
client delivery
Required skills
Medicaid enrollment expertise, insurance verification, financial documentation gathering, coordination of benefits resolution, payment plan establishment, public benefit knowledge
Preferred skills
Certified Application Counselor (CAC) certification, knowledge of healthcare governmental assistance programs, Care Connect system proficiency
Technologies
Care Connect, Microsoft Office
Responsibilities
Assess healthcare coverage needs and verify insurance; assist with secondary coverage and financial assistance applications; interview and screen for financial history to obtain documentation; resolve coordination of benefits issues; establish interest-free payment plans; track private pay residents for Medicaid timing; represent at legal fair hearings; collaborate with attorneys and social services departments.
Seniority
Senior, hands-on IC