Financial Counselor

Financial Counselor

Southern Jersey Family Medical Centers, Inc. is seeking a talented Eligibility Coordinator to step into our fast-paced facility!

Summary: The Financial Counselor is responsible for raising awareness of affordable insurance options and providing eligibility and enrollment assistance to uninsured patients and residents in areas of service. The Financial Counselor performs their duties within the Health Center and will also travel into neighboring communities.

Hours: This is a full-time position that requires the ability to work a flexible schedule. Monday - Friday daytime hours with at least 2 evenings a week.

Position Responsibilities/Duties:

• Review required financial information with patients verbally and in writing: explain the health center's policy regarding sliding fees and the consequences for not following through with the financial assessment
• Collect compliance data for sliding fee documents; follow up and tracks the patient or responsible party compliance until the necessary documents have been received in the Practice Management System (PMS): electronically documents all communication
• Conduct each patient encounter so as to meet the requirements for the State Letter of Agreement (LOA), including but not limited to face to face, phone calls and written correspondence
• Ensure Presumptive Eligibility applications are completed and submitted in timely manner; follow up and track the patient or responsible party compliance until the patient has been deemed eligible for health insurance coverage
• Assess patients potential eligibility for Medicaid, New Jersey Family Care and/or Affordable Insurance Coverage, complete Medicaid application if applicable, and enrolls patients in the Affordable Insurance Exchange where applicable
• Provide financial counseling and guidance as needed to patients: assist patients with the enrollment for Prescription Assistance Programs
• Maintain communication with the County Board of Social Services and/or on-site outstation worker to follow up on the status of patient applications when deemed eligible for Medicaid, and obtain written documentation for the patient's file if not deemed eligible for Medicaid
• Enter and update collected insurance information in the PMS

Position Requirements:

• Working knowledge of Medicaid/Medicare, insurance verification, and application processing
• Excellent verbal and written communication skills
• Valid NJ driver's license: reliable transportation, ability and willingness to travel
• Case management experience preferred
• Diploma or certificate from an accredited medical program preferred
• Bi-Lingual (Spanish) preferred
• Strong computer skills
• High school diploma or equivalent

Southern Jersey Family Medical Centers is an Equal Opportunity Employer.