RCM Specialist, Financial Securing

SUMMARYWe are currently seeking anRCM Specialistto join our Financial Securing team. This full-time role will work on-site (Days, M-F, with potential weekends).Purpose of this position:The Financial Counselor serves as Hennepin Healthcare's primary contact for patient reimbursement issues in accordance with established credit and Financial Counseling policies. Provides information regarding hospital payment requirements, alternative financing, and charity care programs. All communications are conducted in a manner that will result in positive patient relations and prompt reimbursement for services. The responsibilities of the Financial Counselor include functions listed below as well as other duties as assigned.RESPONSIBILITIESMeets with patients that present as self-pay or under-insured to obtain valid insurance coverage, confirms eligibility if applicable, and/or review prior accounts to update insurance coverage information;Notifies the appropriate departments of coverage information when necessary and enters account notes into the electronic medical recordEducates, screens, and assists patients without valid insurance coverage with enrollment in programs including, but not limited to, Medicaid, other state-based and commercial-based assistance programs, and financial assistanceWork closely with Social Services team to resolve financially related barriers that prevent the safe discharge of an inpatient to either the community or next appropriate care facilityWorks closely with Hennepin County DHS team to expedite applications that will assist in timely dischargeCommunicates with nursing home/rehab facility/etc on pending Medicaid application to assist in our patient being accepted to their facility, also to support timely dischargeCollects monies from patients prior to admission and/or prior to discharge, including outstanding accounts receivable, advanced down payments from self-pay patients, and co-pays and deductibles from insured patientsWork with the Division of Expanded Care team to get appropriate forms and applications completed when a patient needs a State of MN disability determinationEducates patients on applicable policies, such as point of service collections, payment plans, and financial assistance eligibility during the interview processResearches, identifies, and rectifies any special circumstances affecting delayed payment of self-pay accountsWorks in conjunction with on-site clinical care team or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients' eligibilityContinues to stay informed of any statutes and regulations that could affect the collection of receivables (i.e., insurance company changes, collection regulations, etc.)Confers with third parties on the completion of forms, patient financial information, financial obligations, and hospital credit policyMeet and maintain initial and ongoing MN DHS and MnSure requirements and certifications that relate to performing the job functions of a Financial CounselorCompletes procedures for filing Medicaid applications and/or other public assistance programsFollows up with all patients and necessary entities who need to return outstanding verifications for the determination of their eligibility for an assistance programRespond timely, accurately and professionally to patient and external and internal business partners, via phone, email, mail as appropriateComplete, process, follow up and approve or deny all financial assistance applications for the organizationQUALIFICATIONSMinimum Qualifications:2 year degree in Accounting, Business, Healthcare Administration, Health & Human Services or related field2-3 years exposure to payor systems and/or knowledge of public financial resourcesBi-lingual strongly preferred, required for some positions-OR-An approved equivalent combination of education and experiencePreferred Qualifications:Bachelor's degree in Accounting, Business, Healthcare Administration or related fieldUnderstanding of Managed Health CareDemonstrated organizational skills and the ability to prioritize and manage tasks based on established criteriaExcellent verbal and written communication and interpersonal skillsAbility to work independently with minimal supervision, within a team setting and be supportive of team membersProficient with Microsoft OfficeExperience using electronic health record or similar software programAbility to analyze issues and make judgments about appropriate steps toward solutionsCRCR (Credentialed Revenue Cycle Representative) certification preferredBilingual preferredKnowledge/Skills/Abilities:Familiarity with statutes and regulations that impact collection of past-due accountsBroad knowledge of government assistance programs, guidelines, and application proceduresAble to communicate and respond to inquiries; requires effective interpersonal skills and ability to interact with patients to explain payment policies and persuade patients to settle account balancesExperience using carious computer programs (Microsoft Office, OnBase, Rightfax Epic)Title:RCM Specialist, Financial SecuringLocation:MN-Minneapolis-Downtown CampusRequisition ID:260402