Lead Financial Counselor

Finance & Revenue Cycle Worcester, Massachusetts


Position at UMass Memorial Health Care

Everyone Is a Caregiver.

At UMass Memorial Health Care, Everyone is a Caregiver regardless of title. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health care system of Central and Western Massachusetts, and a place where we can help you build the career you deserve. We are more than 14,000 employees, working together as one health care system. And everyone, in their own unique way, plays an important part, everyday.

Requisition #: 212766
Title: Lead Financial Counselor
Department: Revenue Cycle
 Location: UMass Memorial Medical Center
Grade: ADM7
Posting Date: February 24, 2021 
Shift: Days
Status: Non-Exempt
Union: SHARE
Hours: 40
Shift Length: 8 
Position Summary:
Provides guidance and assistance to patients, various internal UMass Memorial staff, physician offices and third party vendors regarding financial assistance programs. Performs a variety of duties to ensure that reimbursement is obtained for medical services provided to the uninsured and underinsured patient population. Processes all necessary paperwork and follow-up for appropriate programs according to state, federal and hospital regulations and policies.
Major Responsibilities:

  • Distributes and monitors the flow of work for an assigned group of employees. Provides training and technical assistance to employees within the assigned work area. Assists supervisor in assuring that assigned employees are provided with appropriate resources, materials, and methods. Provides recommendations to manager or supervisor for the most efficient utilization of assigned personnel. Relays work instruction from the supervisor. 
  • Interviews and screens the appropriate patient population in multiple settings through out the campuses, regarding confidential financial and medical information to establish eligibility for various assistance programs. 
  • Completes Uncompensated Care, Mass Health and other Medical Assistance applications, obtaining all verifications for medical assistance and uncompensated care as required by governmental regulations and guidelines. 
  • Reviews reports to identify self-pay patients (inpatient, outpatient, surgical day, psychiatric in and outpatients) for the purpose of screening for assistance programs.
  • Utilizes multiple software applications i.e. Virtual Gateway, Real Benefits and EDS for the transmission, reporting and follow up of Mass Health & UCP applications. 
  • Coordinates interviews with interpreters, social workers, case managers, social security outreach workers, drug assistance coordinator, care mobile, doctor’s offices and community health centers as needed.

 Position Qualifications: 

  • Associates Degree in Business, Social Services or three years’ experience in Healthcare, accounts receivable or related function. Proficient in department collection practices and concepts of third party, bad debt and free care regulations. Demonstrated knowledge of federal and state Medical Assistance eligibility regulations and medical terminology. Excellent written and verbal communication skills in order to communicate effectively with a variety of levels including patients, hospital, and medical staff. Ability to maintain strict confidentiality. Thorough knowledge of third-party insurance. Must be able to cover at other campuses if warranted.

 All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Standards of Respect: