PSR/Financial Counselor

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.