About the role
Everything we do is underscored by a why — and that why is one another.
Location:
Altru Health System
PO Box 6002
Grand Forks, ND 58201
Pay Range: $17.92 - $26.88
Summary:
Financial Counselors assist patients in applying for local, state, and federal assistance and are certified to assist with the Federal marketplace. They are certified in assisting patients in applying for Hospital Presumptive Eligibility through the state of North Dakota and Minnesota and assist with Altru's internal charity programs such as Community Care, Charity, and assistance through the Altru Foundation. Financial Counselors serve as liaisons between external organizations and assist in gathering documents to support eligibility and appeals. Financial counselors represent Altru's HERO program in community outreach events and work with self-pay patients to collect pre- payments while also counseling and educating patients on their insurance benefits and connecting patients with external resources when needed.
This is a hybrid role (onsite and remote), located in Grand Forks, North Dakota; subject to change based on organizational needs.
Essential Job Functions:
Receives and responds to patient, professional, and clinical inquiries in person or by telephone and provides accurate processing and billing support. Explains insurance benefits,
payments,
claim
submission,
billing,
and
general
Business
Office
procedures.
Acts as the primary contact for customers, clinical, and support staff via phone calls, e- mails, and written correspondence to resolve problems, concerns, insurance, coding, and billing
questions.
Evaluates,
develops,
and
implements
action
plans
to
arrange
payment
of outstand balances. Resolves and documents all issues and concerns that are received.
Assists guarantors who have minimal or no insurance coverage to determine a course of action to maximize prompt payment and minimize bad debt.
Reviews
assigned
inpatient
admissions
and
visits
patient
and/or
family
members
on
floors to obtain required information.
Performs account analysis and educates guarantors regarding payment issues on outstanding
patient
balances.
Reviews,
verifies,
and
evaluates
demographic
and
third -party payer information as they are related to patient accounts. Processes
assigned
computer
generated
bills
and
posts
payments
and/or
adjustments
on assigned accounts.
Completes documentation/paperwork for patients regarding pharmaceutical assistance
programs.
Maintains computer program related to Prescription Assistance
Program.
Performs other duties as assigned or needed to meet the needs of the
department/organization.
Certification:
Certified Application Counselor (CAC) | Health Insurance Marketplace | Within 6 Months of Start Date | HR Primary Sources
Driver's License with Acceptable Driving Record | Driver's License - Current State Licensed | Prior to Start Date | HR Primary Sources
Education:
• Preferred: Associates - Business
Work Experience:
• Required: A minimum of 2 years Related Experience
Language Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands :
• Sit: Continuously (67-100%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Occasionally (5-33%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Occasionally (5-33%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)
Weight Demands:
• Lift -Floor to Waist Level: Sedentary (<10 pounds)
• Carry: Sedentary (<10 pounds)
• Push/Pull: Sedentary (<10 pounds)
• Slide/Transfer: Not Applicable
Working Conditions:
• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable
Driving Requirement Definitions:
Professional Drivers:
Persons who drive as their main responsibility OR transport passengers or hazardous materials.
Frequent Drivers:
Persons whose main responsibility is not driving, but drive daily or almost daily.
Occasional Drivers
: Persons who drive from once per month to as frequently as once per week.
Infrequent Drivers:
Persons who are generally not expected to drive.
Driving Requirement for this position:
Occasional Driver
Reference ID: R8089
Making a real difference. For one another.
To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)