Financial Case Manager - Senior
Rochester Regional Health

Job Info

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Description

SUMMARY

The Financial Case Manager - Senior is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process.

Community/Acute - The FCM - Senior will assist under-insured patients by screening for secondary coverage options, applying for financial assistance and other government based programs. This person will work closely with Patient Financial Services to help resolve coordination of benefits (COB) issues.

Looking for Someone with good knowledge and experience with Medicaid enrollment and some Medicare knowledge.

STATUS: Full time

LOCATION: Riedman Campus / Seneca Ridge Dialysis

DEPARTMENT: Financial Assistance

SCHEDULE: M-F 8:00 AM - 5:00 PM

Financial Counseling:

• Assesses the healthcare coverage needs of uninsured and under-insured patients.
• Verifies insurance coverage to identify uninsured patients who may be eligible for insurance enrollment, and provides the FCM II accurate information for patient interview when needed.
• Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements, agency regulations and budgeting procedures for Long Term Care arena.
• Track Private Pay residents in Long Term Care setting in order to begin Medicaid application at opportune time as to ensure no gap in coverage for nursing home.

Additional duties as assigned with a positive attitude:

• Float between all hospital and long-term care settings when needed
• Covers complex settings such as Inpatient including HINNs, Emergency or Specialty care arenas
• Assists with additional projects above Medicaid enrollment such as complex coordination of benefit concerns, billing projects and involvement with new project builds.
• Attend and representing Long Term Care at legal fair hearings at Local Department of Health of Human Services courts.
• Work directly with system and resident's attorney office while pursuing Long Term Care Medicaid approvals

Minimum Qualifications:

• Associates Degree in related field with four years of experience preferred or an equivalent combination of work experience in financial counseling, long term care setting, healthcare billing or customer/patient service is required.
• Three or more years of Medicaid enrollment experience required.

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $24.65 - $26.75

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

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