JOB SUMMARY
The Patient Assistance Counselor is responsible for interviewing, verifying insurance benefits, and following up with uninsured and underinsured patient referrals to assess and assist with their medical, social and financial needs. The individual reviews financial assistance and medication assistance applications to ensure program and financial requirements are met. The individual may calculate income and assets totals and determine level of financial assistance award, and medication assistance eligibility, according to protocol. The Patient Assistance Counselor maintains a thorough knowledge of health care coverage opportunities available through local, state or federal and pharmaceutical programs and Foundation grants, and assists with outreach and enrollment to bridge patients with these resources.
JOB QUALIFICATIONS
EDUCATION
For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.
Minimum Required: High school diploma or equivalent.
Preferred/Optional: Successful completion of a diagnosis, current procedural terminology (CPT) and medical terminology courses at time of hire.
EXPERIENCE
Minimum Required: Two years’ experience in medical business office, health care setting or comparable experience required. For FHC Dental Center PAC, one year experience in FHC medical or dental office may be acceptable.
Preferred/Optional: None
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.
Minimum Required:
For positions hired within the FHC dental centers:Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of hire.Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training offered after hire.Preferred/Optional:
For positions hired within the FHC dental centers:Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.Certified Application Counselor designation through the Centers for Medicare and Medicaid Services at time of hire.Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here.Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.