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PSR/Financial Counselor

La Familia Medical Center Santa Fe, NM

25d ago

Full time Bilingual Counselor Eligibility

Bilingual Counselor Eligibility

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Job Description

Position Overview

La Familia Medical Center in Santa Fe, NM 87501 invites applications for a PSR/Financial Counselor. Under the direction of the Chief Administrative Officer, the PSR/Financial Counselor (FC) provides general education, outreach and in-person Medicaid enrollment and assists all patients through the healthcare system by acting as a patient advocate.

Essential Responsibilities

Fulfills the Federal and State contracts as required.
Provides general education about expanded Medicaid and enrolls patients when necessary.
Provides education about the New Mexico Health Insurance Exchange (the Exchange) and enrolls patients as needed.
Assists all patients through the healthcare system by acting as a patient advocate.
Reviews a patient’s account before scheduled appointments to ensure accuracy; notes missing information to be collected at check-in.
Verifies insurance eligibility upon appointments being made.
Supports efforts to comply with CMS requirements to provide Good Faith Estimate’s (GFE) to appropriate patients.
Counsels patients who are unable to pay for their visit and arranges a payment agreement plan suitable for the patient and organization.
Determines patients’ financial status and makes arrangements for financial assistance programs when the patient qualifies.
Obtains required information by interviewing applicants, family members and others, completes applications and confirms information for accuracy.
Determines eligibility by applying regulations and guidelines to information provided in application documents.
Verifies client’s continued eligibility by reviewing and verifying updated information in the client’s file.
Obtains approval of applications by submitting determinations for review and following up as required for finalization.
Educates program applicants/clients by explaining program requirements, options, interpretations and determinations, and follows up with the patient during the approval process.
Assists in maintaining appropriate patient records for continuity of care, treatment planning, and patient tracking.
Prepares and submits all required patient and activity reports accurately and in a timely manner.
Verifies and ensures all preliminary information has been received and that all accounts are ready for billing with adequate supporting documentation.
Contributes to team effort by following policies and procedures, participating in quality reviews, reporting needed changes, and achieving related results as needed.
Participates in data gathering for financial reporting.
Works closely with the Billing Department to ensure clean claim submissions.
Performs all essential duties and responsibilities of a PSR when needed.
Performs all essential duties and responsibilities of an Operator when needed.
Performs other duties as assigned.

Education, Experience and Skills/Training

High school diploma or equivalent required.
A minimum of two years of experience in medical/dental operations in the areas of patient reception, patient registration, patient cashiering, and patient referrals.
Must possess sufficient prior work experience in progressively more responsible positions during which the skills and abilities to perform all the essential functions have been demonstrated at a consistently competent level.
CPR Certification, required.
Fluent in both English and Spanish, required.

Leave Benefits

Three (3) weeks of annual leave.
Up to two (2) weeks of annual sick leave.
Eight (3) paid holidays.
Two (2) paid personal days.
Accruals and holidays are prorated for part-time employees.

Insurance Benefits

Medical
Dental
Vision coverage available for staff and eligible family members, including domestic partners
Paid term life insurance (flat $25,000)
Paid short term disability
Optional life
Critical care
Medical and dependent care expense accounts
Health savings account
403(b) retirement savings plan (eligible for company match after 12 months of employment)

Bargaining Unit Position

Union: Non-Union: X

La Familia offers opportunities for employment in the fields of medicine, nursing, dentistry, health education, and other support services. We are an equal opportunity employer.

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