FINANCIAL COUNSELOR

Description

SIHB Core Competencies

Core Competencies are foundational commitments and skills that all SIHB staff are expected to develop. These competencies define common measures for performance that are applied to every role in the organization.

• Commitment to Indigenous and Organizational Values: Everything we do at SIHB is centered on Traditional Indian Medicine. It is our responsibility to maintain cultural integrity in all that we do.
• Accountability: All employees of SIHB effectively manage their own work and the work of their teams. We take ownership of our actions and decisions. We all strive to deliver the highest quality work and care, while respecting our teammates and relatives.
• Collaboration: SIHB is a team-oriented organization. As team members, we share the responsibility of working toward a common purpose. We collaborate with our colleagues across the organization to deliver the highest quality of care and results in alignment with our mission, vision, values and Theory of Change.
• Communication: We practice effective and clear communication with staff, relatives, teams and community. We demonstrate empathy among each other and with those we serve, and transparency in our decision making.
• Customer Service Orientation: All employees of SIHB recognize the needs of the diverse community we serve. We put the needs of our relatives first by delivering the highest quality, professional, responsive, and innovative care. Our relatives come first and deserve the best.

Position Summary: The Financial Counselor is responsible for assisting relatives (patients) and families with insurance verification, benefit enrollment, financial assistance programs, and healthcare cost estimates while ensuring access to coverage, accurate information, and exceptional customer service.

Organizational Structure/Reporting Relationships: This position reports directly to the Revenue Cycle Manager and is part of the Revenue Cycle team.

Organizational Responsibilities

• Hold Indigenous values and practices with respect and integrity.
• Hold yourself accountable to the highest standard by being resourceful, innovative, creative and solutions-oriented.
• Actively participate in organizational activities with the understanding that success is achieved through teamwork.
• Recognize that communication is central to the organization's success and actively champion your words and actions to maintain respect for others, encourage constructive feedback, be open to share laughter and acknowledge differences in skills and opinions, all while keeping others' best intentions in mind.

At SIHB, we refer to our customers as Relatives. Our Relatives come first and deserve the best. Serve the needs of our Relatives first by delivering the highest quality, professional, responsive and innovative care.


Job Responsibilities

• Complies with all organizational policies regarding ethical business practices.
• At all times demonstrates cooperative behavior with supervisors, subordinates, colleagues, clients, and the community.
• Works extremely well under pressure; meets multiple and often competing deadlines.
• Review Insurance coverage, eligibility, and benefits to determine out-of-pocket cost
• Help relatives understand medical bills, payment options, and available financial assistance programs.
• Enrollment assistance (e.g., completing coverage applications, gathering required documentation, troubleshooting the enrollment process, and assisting with redetermination of Medicaid.
• Structured relative education on health coverage, engage in follow-up conversations, and offer renewal assistance.
• Assist with dental estimates

Requirements

Background Qualifications

Required:

• High School diploma or equivalent
• Two years of experience in customer service
• Two years of experience dealing with insurance claims

Preferred:

• Medical Billing or Coding Certification, two+ years' experience in medical, dental, and/or behavioral health billing may substitute for Medical Billing and Coding certification.
• Experience with Epic
• Experience handling Medicare and Medicaid claims
• Experience in Revenue Cycle Systems integration (i.e. electronic claim automation, claims scrubber integration, ERA/EFT enrollment & automation, etc.)
• Proficiency with Microsoft Office Suite; Microsoft Project Management

Work Environment: SIHB operates on a 4x10 (4 days per week, 10 hours per day, or 5 days per week- 8 hours a day) work schedule.