Senior Financial Counselor (PFS)
Core
Assist uninsured and underinsured patients in obtaining healthcare coverage through MassHealth, Medicaid, Medicare, and charity care programs while ensuring accurate registration and financial eligibility.
Role type
Senior Financial Counselor (Patient Access)
Builds
Patient access to care and hospital revenue cycle
Domain
Healthcare / Public Health Insurance
Deliverable
client delivery
Required skills
Financial counseling case management, Healthcare program eligibility determination, Patient advocacy, Data integrity and verification, Regulatory compliance, Program enrollment facilitation
Preferred skills
Bachelor's degree, Cross-functional collaboration
Technologies
Hospital information systems, Work queues, Reporting tools
Responsibilities
Facilitate applications, appeals, and eligibility notifications for public insurance programs; Educate patients on Medicare Part D, Medigap, and Savings Programs; Verify patient insurance and maintain accurate demographic data; Manage high volume of financial counseling cases from engagement to resolution; Identify opportunities for retroactive coverage and advise on payment plans.