Financial Case Manager

Job Title: Financial Case ManagerDepartment: Health Information Management Location: Alex Park SUMMARY: The Financial Case Manager is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process.

All communication must be conducted in a manner that will result in positive patient relations and prompt reimbursement for services rendered. The FCM may also help in internal continuous improvement initiatives around financial performance. This individual works collaboratively with multiple departments of our organization

RESPONSIBILITIES: Assesses the healthcare coverage needs of uninsured and under-insured patients. • Verifies insurance coverage to identify uninsured patients who may be eligible for insurance enrollment, and provides the FCM II accurate information for patient interview when needed. • Assists under-insured patients with applying for secondary coverage, financial assistance applications in the acute care setting and other programs in which they be eligible. • Complete all financial and secondary insurance applications with high quality work, gathers all necessary documentation and submit them to the proper agency / staff for processing. • Notifies the appropriate staff of pertinent information and enters notes in a timely manner into the financial and clinical sections of Care Connect as well as any additional software programs that may be deemed necessary for the arena working in. • Establishes payment plan arrangements for patients per policy for hospital and clinical accounts. • Thorough knowledge of long term care Medicaid program including necessary forms, documentation requirements, agency regulations and budgeting procedures for Long Term Care arena.

REQUIRED QUALIFICATIONS:

• Associates Degree in related field with two years of experience preferred or an equivalent combination of work experience in financial counseling, long term care setting, healthcare billing or customer/patient service is required.

EDUCATION:

LICENSES / CERTIFICATIONS:

NYS DL - valid New York State Driver's License - New York State Department of Motor Vehicles (NYSDMV)New York State Department of Motor Vehicles (NYSDMV)New York State Department of Motor Vehicles (NYSDMV)

PHYSICAL REQUIREMENTS:

S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$21.00 - $24.75

CITY:

Rochester

POSTAL CODE:

14607

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.