Financial Case Manager
Core
Reviewing uninsured and under-insured patient accounts, verifying insurance, applying for financial assistance and government programs, and setting up payment plans.
Role type
Financial Case Manager (Healthcare Billing & Financial Counseling)
Builds
Patient financial resolution and Medicaid coverage applications
Domain
Healthcare / Long Term Care / Acute Care
Deliverable
client delivery
Required skills
Insurance verification, Medicaid application processing, financial assistance program knowledge, payment plan establishment, coordination of benefits resolution, data entry, patient interviewing
Preferred skills
Certified Application Counselor (CAC) certification, knowledge of healthcare governmental assistance programs, PC/Microsoft Office proficiency, problem-solving in stressful environments
Technologies
Care Connect, Microsoft Office
Responsibilities
Assess healthcare coverage needs of uninsured/under-insured patients; verify insurance coverage and identify eligibility for enrollment; assist patients with secondary coverage and financial assistance applications; establish interest-free payment plans; resolve non-complex coordination of benefits issues; track private pay residents for Medicaid application timing; maintain accurate financial databases and spreadsheets.
Seniority
Individual Contributor