Fairview Health Services is looking for Senior Intake Finance Counselor. This position is approved for 80 hours every two weeks and is benefit eligable.
This position requires remote work. In addition to adhering to all Fairview policies, guidelines, procedures, the Fairview Commitments, and the Code of Conduct, it is the expectation the following requirements of the remote work policy will be met, including but not limited to:
Remote workspace that is clean, safe,andprofessional.
Maintains an internet connection consistent with Fairview standards at remote workspace.
Remain productive and responsive during their scheduled work hours.
Attend primary Fairview location, as needed.
The Senior Financial Counselors role in the admission financial process is to financially secure exception patients by managing the community care process, assisting patients in applying for government insurance products, making individual contractual arrangements won non-contracted out of state MA providers, setting up payment arrangements with patients and gathering all necessary information to facilitate the charity care escalation process. They coordinate all financial issues with the patient, the insurer, the physician, and other stakeholders as a member of the financial counselor team. They are also responsible for responding to and investigating patient and family members concerns and complaints and resolves potential and actual claims.
Perform insurance verification and analysis
Determine eligibility status.
Obtain benefit information.
Verify group/contract numbers and subscriber information.
Obtain certification and/or authorization
Verify specific plan
Provide necessary information to health plan to obtain certification and / or authorization
Identify potential coverage issues
Specific Fairview program
Research to find other programs for payment
Negotiate with third party payers to provide coverage
Submitting medical data
Citing precedents set by other payers
Providing cost benefit information
Maintain current knowledge of payer requirements
General admitting practices
On-line verifications applications
Initial and ongoing training
Manage and maintain community care and charity care programs.
Work closely with physician partners to facilitate the resolution of financial exception patients.
Facilitate Community Care program for eligible patients by obtaining relevant financial information
Assist self-pay patients or patients with limited coverage in applying for government sponsored programs like Medicare, MA. And GAMC.
Provide assistance to unscheduled patients needing medical care and financial assistance.
Assists self pay patients or patients with limited coverage in applying for government sponsored programs
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider netwo...rk and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.