Financial Counselor

Job Title Financial Counselor Schedule & Location 40 hours per week; Monday through Friday from 8:00 AM to 4:30 PM. Onsite at Tufts Medical Center – Boston, MA. Job Summary This role focuses on revenue cycle operations such as billing, collections, and payment processing. It also provides patient financial services, facilitating reimbursement for clinical services, submitting claims to insurers, following up on claims, and performing appeals for non‑clinical denials. Job Overview The position coordinates insurance verification and financial counseling for all patients within Tufts Medicine, including outpatient, inpatient, and ED patients. The role assists and educates uninsured and underinsured patients through the process of obtaining benefits so they can access needed care and ensures reimbursement to Tufts Medicine for services provided. Minimum Qualifications High school diploma or equivalent One (1) year of hospital/health care experience in the areas of Patient Access CAC Certification within 4 weeks of hire Preferred Qualifications Associate’s degree Duties & Responsibilities Ensures that all appropriate demographic and insurance information is captured on each inpatient admission. Verifies eligibility and benefit levels by the next business day following the date of admission. Identifies patients who are Medicaid eligible and completes Medicaid applications for those who fall within the Medicaid assistance guidelines. This includes interviewing family members and other professionals, and obtaining asset and income verification. Meets with patients in the ED or inpatient care setting. Communicates effectively and timely with patients/families and colleagues. Works collaboratively with Case Management, Social Work, MDs and other clinical team members. Clearly documents all work completed in EMR. Follows applications from submission through final decision, updates EMRs accordingly, and communicates with patients/families about the final decision and next steps. Assists patients with enrollment in Managed Care/ACO plans, enrollment via the Health Connector, employer‑sponsored insurance/COBRA, or Medicare plans. Assists patients in applying for Tufts Medicine Financial Assistance application and follows the application through final determination. Assists patients in applying for disability benefits when applicable. Monitors EPIC work queues assigned and meets daily/weekly productivity standards. Escalates issues to leadership in a timely manner. Physical Requirements Frequent sitting, occasional standing & walking, and lifting 5-10 lbs. Mental requirements will be intense at times with involvement in many concurrent multi‑faceted projects. Requires manual dexterity using fine hand manipulation to operate a computer keyboard or related equipment. Requires ability to see computer screen, monitoring equipment, and reports. Skills & Abilities Knowledge of hospital and medical terminology. Familiarity with third‑party plans and medical billing. Experience with hospital information systems. Compensation Pay Range: $20.12 - $25.15 per hour. #J-18808-Ljbffr