Pt Financial Cdtr/Cert App Counselor - Team B + Department: Patient Access - CMH + Entity: Peoria Service Area + Job Category: Clerical/Admin + Employment Type: Full - Time + Job ID: 45697 + Experience Required: 1 - 3 Years + Education Required: Associates Degree + Shift: Day + Location: Peoria, IL + Usual Schedule: M-F 8a-4309 + On Call Requirements: No + Work Location: Methodist Medical Center + Weekend Requirements: No + Holiday Requirements: No Email a Friend Save Save Apply Now Position Summary: The PFC assesses patient's financial and insurance information in order to determine Medicaid, or other Community Resources. Facilitates the actual insurance enrollment processes; manages accounts that require a detailed, large scope analysis of payment/insurance options in order to secure reimbursement. Receives account referrals from Pre-access, Patient Access, CBO and others for high deductible, out-of-pocket expenses, unresolved or pending claims and other financial risk issues. Qualifications: Educational Requirements Education Level Concentration/Major Associate's Degree Health related field Licensure/Certification Requirements Licenses/Certifications Licenses/Certification Details Time Frame CMS Exchange Certification DH Presumptive Certification within 1 Year Specialized Knowledge and Skills Requirements Knowledge of Insurance/Medicaid Essential Functions: Essential Functions Counsels patients via phone or in person, reviews patient's previous accounts for outstanding balances, and financially counsel patients on all options of payments. Monitors and works, on a daily basis, all self-pay accounts from assigned work queues Assess patients financial/insurance information in order to determine insurance eligibility Follow up with the Department of Human Services and all other Public Agencies regarding application process Reviews Department of Human Services decisions for enrollment in applicable states; ensures all follow-up has been completed for the patient Completes and submits Medicaid for patients that may potentially qualify in a timely and accurate manner Facilitates Medicaid patient's documents for non-universal charity eligibility sent to the CBO Explains payment options, Carle collection processes and accepts payments directly from inpatient and all patients from both the hospital and clinics Updates patient Medicaid information in Epic and communicates changes to appropriate parties Assist Patient Registration in the registration process of patients Department Specific Job Function Interact in a professional and compassionate manner to ensure patients and their representatives needs are met and that they understand the hospital's financial policy. Increases Carle Health staff communications, accuracy, productivity, cohesiveness and continuity system wide while improving direct communication with the CBO regarding patient's financial obligations We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com. Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.