Patient Financial Counselor, 40 Hr, M-F 8a-4:30p (#24-106; Posted 11/26/24)

The Revenue Cycle Director is responsible for overseeing the daily operations of the revenue cycle system and its associated departments. This includes providing guidance and supervision to Provider Enrollment and Billing specialists, as well as managing Patient Access (Scheduling, Preregistration, Insurance Verification, Prior Authorization, Patient Financial Counseling, Patient Check-in), Coding, Billing and Collections, and Switchboard functions. The Director also plays a key role in developing and updating departmental Policies and Procedures, as well as maintaining revenue cycle modules. Working closely with the Patient Access Manager, Health Information Management Manager, Controller, and billing and collections vendors, the Revenue Cycle Director ensures the effective coordination and management of all Revenue Cycle and Switchboard functions. Additionally, the Revenue Cycle Director actively contributes as a member of Revenue Cycle, Department Leadership, Chargemaster, Utilization Review, and Compliance Teams. Bachelor’s degree with five years of healthcare revenue cycle management experience, Masters preferred. Working knowledge of healthcare billing and coding regulations. AAHAM or HFMA Revenue Cycle Management Certification.

Under the direction of the Revenue Cycle Director, the Patient Financial Services Councilor is responsible for providing financial counseling to uninsured and underinsured patients. They will assist patients in the process of getting insurance and also assist as outlined in the Financial Assistance policy. Primary responsibilities include: assist patients with MaineCare or Medicare application process when appropriate, assist and educate patients on marketplace insurance options, work with patients on a payment plan outlined in the patient financial responsibility policy, collect and post patient payments according to arranged payment plans, help patients with indigent drug applications, update patient’s billing records to indicate payment arrangements made, other duties as assigned. Associate degree in business administration, experience working in healthcare billing/collections, working knowledge of patient accounting processes, job experience can count towards education requirements; prior experience working with Meditech Expanse EHR system preferred.

The Provider Enrollment Specialist serves as an essential link and resource between Revenue Cycle, Administration, Medical Staff and Human Resources to coordinate the operational processes and ongoing provider enrollment for Houlton Regional Hospital and the medical staff. The Provider Enrollment Specialist works closely with Administration and Human Resources to ensure timely enrollment of new medical staff, renewal of current medical staff, review, analysis, and follow-up of provider enrollment applications, while maintaining strict confidentiality, and ensuring compliance with organizational policies and accrediting and regulatory agencies. Associate’s degree in human services, medical field, or related discipline, or three to five years’ experience in medical office management. Willingness to obtain certification in credentialling.