Financial Counselor

Description


Financial Counselor


Welcome to Holy Name, a medical center where innovation is not just a goal - it's a commitment. Here, medical excellence thrives, allowing hope to reign supreme and leaving no room for fear. At our hospital, every patient is cared for with undivided attention - because healing every soul is our sole focus.


Holy Name is New Jersey's only independent Catholic health system, comprising a 361-bed acute care hospital, a renowned cancer center, a state-of-the-art fitness center, a residential hospice, a prestigious nursing school, and an extensive physician network. Healing at Holy Name goes beyond medicine and technology - it is infused with faith, conviction, compassion, and a commitment to educating the next generation of healthcare professionals through a variety of residency and educational programs. Our mission to provide care for the body, mind, and soul spans education, prevention, diagnosis, treatment, rehabilitation, and overall wellness. This is at the core of who we are and what we do, and we've done it this way across generations, every single day, for nearly 100 years. Every innovation, medical breakthrough, and groundbreaking treatment is powered by some of the best minds in medicine, ensuring nothing is left on the table or the road to recovery.


A Brief Overview The Patient Financial Counselor will apply, refer, and determine eligible patients for: Medicaid, Charity Care, health insurance, and/or any other hospital discount , government or non-government assistance programs.


What you will do

• Conducts interviews with patients and/or family members. Performs financial clearance function including, but not limited to, negotiating and collecting point of service payments (i.e. co-pays, deductibles, self-pay compact rates).

• Determine eligibility and initiate application process for local, state, and federal assistance programs (i.e. Charity Care, Medicaid, SSI, SSDI, etc.) and follow up accordingly with patient, physicians, and appropriate agencies for completion and processing of these applications.

• Maintains communciation with hospital case management, social services, and other appropriate hospital staff, regarding financial screening determinations and outcomes, via verbal and written communication.

• Visit admitted patients in their hospital room for bed side screening of hospital payment assitance programs and for the collection of payments for hospital services rendered.

• Complete Charity Care applications and forward to the Senior Financial Counselor or Supervisor for approval.

• Verify eligibility and benefits for insurance on existing patient accounts when necessary.

• Records and maintains complete documentation of activities performed on each account worked.

• Interacts with hospital business office, call center, and other staff or departments necessary for insurance and payment resolution.

• Screen and refer eligible patients for MLTSS programs and obtain necessary paperwork and required signatures in order to process application.

• Performs other duties as assigned.


Education Qualifications


• High School Diploma


or equivalent


required


• Bachelor's


in a related area


preferred


Experience Qualifications


• 1-3 years


One to Three years experience or equivalent education and experience.


required


Knowledge, Skills, and Abilities


• One to Three years experience or equivalent education and experience.

• Working familiarity with the rules and regulations pertaining to Federal, State and County programs (i.e. NJ Charity Care, NJ Family Care and ABD Medicaid programs, SSI, SSDI, etc.).


• Knowledge of insurance eligibility and benefits.


• P/C systems literate including, but not limited to, Windows, Microsoft Outlook, Excel and Word programs.


• Ability to work independently.


• Excellent oral and written communication skills.


• Good organizational skills.


• Bilingual in Spanish preferred.


• Ability to negotiate point of service payment.


• Is able to work effectively in a fast paced environment.


• Has an aptitude for conflict resolution.


Licenses and Certifications


At Holy Name, we believe in rewarding every team member with more than a paycheck-we invest in your future and well-being. Full-time and part-time employees have access to a comprehensive benefits package designed to support your health, financial security, and quality of life. We offer low-cost medical coverage with generous employer contributions, dental and vision plans, discounted prescriptions, and access to on-site child care. Additional benefits include 401(k) matching, tuition reimbursement, paid time off, flexible spending accounts, legal and voluntary coverage options, life insurance, and free on-site parking. If you are hired at Holy Name, your final base compensation will be determined based on factors such as employment status (Full/Part-Time or Per Diem) skills, education, and/or experience. In addition to those factors - we believe in the importance of pay equity and consider any internal equity of our current team members as a part of any final offer. Pay Range:


Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented staff members. Holy Name is an Equal Opportunity Employer.