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Software Engineer

Indianapolis, IN, United States

Division: Eskenazi Health

Sub-Division: Hospital

Req ID: 20312

Schedule : Full Time

Shift : Varied (Days/Evenings)

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status

Non-Exempt

Job Role Summary

The Financial Counselor assists customers with information necessary for securing verifications from various companies/agencies (Work One, banks, life insurance companies, health information, physician offices, Social Security Administration, Health Department, etc.).

Essential Functions and Responsibilities

Accept daily assigned customer referrals in management designated systems to determine customers to be screened/interviewed

Assist walk-in customers as they present

Explain available payer programs and benefits to customers, including Healthy Indiana Plan, various Medicaid or State programs and services, Health Insurance Marketplace, COBRA, or any other possible third party payer sources, or the hospital's charity program, Eskenazi Health Financial Assistance program

Interview/screen customers for all potential payer programs as described in previous job function

Assist customer with information necessary for securing verifications from various companies/agencies (Work One, banks, life insurance companies, health information, physician offices, Social Security Administration, Health Department etc.)

Complete timely submission of documentation and application in management designated system(s), adhering to all deadlines and requesting extensions from management when necessary

Document and update application status in management designated system(s) on a regular basis

Maintain confidentiality of patient health information in compliance with HIPAA regulations

Contact patients by phone, correspondence, or home visit to continue to secure necessary documentation

Monitor progress of applications to ensure application completion and processing timelines are adhered to

Attend interviews (phone or in-person) with State, County or other payer program representatives for those patients with signed authorization that are determined not able to participate, have requested representation, or have a history of lack of cooperation

Update management designated system(s) with eligibility determinations and update all appropriate EMR accounts if eligibility is retroactive

Mentor peers, including training as needed

Ability to meet all productivity and quality requirements

Job Requirements

High school diploma required; Associate or Bachelor's degree or equivalent work/business experience is required.

Must meet all federal and state required navigator training and certification requirements within 30 days

Bilingual in English/Spanish is a plus

Knowledge, Skills & Abilities

Extensive knowledge of eligibility policy rules and processing requirements for programs administered by CMS, FSSA, and other applicable State and Federal programs

Extensive knowledge of health care related insurance rules and guidelines, coverage and benefit plans, and strong ability to calculate and demonstrate insurance and patient payment methodologies and respective amounts due

Strong investigative, analysis and judgment skills

Excellent spelling and grammar; good phone skills; basic math skills; organized, set priorities, meets deadlines; ability to multi-task and carefully proof own work

Must demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed

Ability to work independently and as part of a team

Professional demeanor in person, email, and over the phone

Proficiency in Microsoft Office Tools

Must be sensitive to the medical needs of customers and professional duties of hospital staff

Ability to adjust to changes in policies, procedures, and systems

Accredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.

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