Insurance Enrollment Specialist Jobs in Rochester, NY

We are Hiring! 

Job Posting: FINANCIAL ASSISTANCE SPECIALIST 

Location:  ROCHESTER, NY - Hybrid, 2-3 days on site a 79 N. Clinton Office

Department:  FINANCE/BILLING

Employment Type:  FULL TIME

Schedule:  WEEK DAYS

Salary: $24.00 - $25.00 / HOUR

Catholic Charities of the Diocese of Rochester was founded in 1917 with a mission to build a just and compassionate society to advance the dignity of all people. Catholic Charities of the Diocese of Rochester meets basic needs; advances economic security; pursues housing solutions; strengthens families and children; delivers compassionate mental health and addiction care; supports individuals with intellectual and developmental disabilities; welcomes immigrants and refugees, and more.

If you’re looking for an opportunity to express and explore your passion for helping others, then join a team that truly makes a difference DAILY, in people's lives. Don't miss out on being a part of something special!

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General Description

Supports clients with securing eligible financial assistance, monitoring enrollment status and coordinates collection as required. Effectively supports ongoing and collaborative communication amongst all program staff and is responsible for ensuring a trauma informed care environment.

Essential Duties and Responsibilities

• Provides friendly and helpful assistance to all staff, patients, and payor representatives
• Finds financial solutions for patients who need payment assistance through Marketplace enrollments or Individualized Financial Assessments
• Provides patient support, verifying Insurance and payment collection
• Utilizes payor websites to verify insurance eligibility, benefits, plan type, and patient cost share
• Ensures insurance plan is entered accurately in the EHR by plan type and subscriber for all patients prior to claims billed
• Verifies referring providers for all patients, and enters in patient chart in EHR prior to claims billed
• Completes insurance enrollment with the patient via the NYS Marketplace for uninsured patients to determine eligibility 
• Completes financial assessment to determine sliding fee scale for patients that are ineligible for insurance
• Coordinates with the reception and clinical team to schedule client appointments for payment assistance process
• Meets with patients face-to-face to complete insurance enrollment or financial assessment 
• Monitors enrollment status and ensures all patients receive a response and follow-up
• Coordinates with billing staff to ensure all claims are billed retro actively to effective date of plan
• Mails monthly patient statements
• Completes patient account adjustments for uncollected balances  
• Inform patients of provider fee schedule, answers questions regarding patient bill
• Processes patient payments via phone utilizing online bill pay portal
• Calls to obtain authorization of services for Restricted Recipient patients for out of network plans
• Emails NYSDOH complaint department to resolve COB issues
• Adheres to all applicable federal and state laws, including but not limited to those governing client confidentiality, privacy, program standards and billing and documentation standards.
• Has knowledge of federal and state standards governing program documentation and Medicaid and Medicare billing standards and completion of all required service documentation in accordance with such standards
• Maintains up-to-date professional knowledge through reading, workshops/trainings, and conferences, as appropriate
• Participates in relevant Agency meetings and/or trainings 
• Actively pursues development of professional competencies related to job performance through reading, supervision, in-service training and attendance at conferences and workshops. 
• Awareness and active support of the Agency's Mission, Vision, Values and Strategic Plan. Including, but not limited to, supporting the Agency's Core Competency initiatives of being Collaborative and Community Focused, Innovative and Entrepreneurial, and Culturally Competent and Diverse
• Other duties as assigned

Note: The above description is illustrative of tasks and responsibilities. It is not meant to be all inclusive. Employees are required to follow appropriate supervisory direction and perform other related duties as required.

Qualifications

Education:

Associates degree in Business Administration or Accounting preferred.

Certification:

NYS of Health Assistor Certification Required (training/certification can be taken upon hire).

Experience:

At least 1 year of accounting or client billing experience required, preferably in a non-profit setting preferred. Experience working in an Electronic Health Record (EHR) preferred. Equivalent combination of education and experience will be considered. 

Additional Requirements:

• Ability to prioritize assignments, plan, and complete work projects with minimal direction,
• An ability to work efficiently and effectively and meet deadlines, 
• An ability to work under pressure,
• Excellent verbal/written skills,
• Ability to maintain confidentiality,
• Ability to demonstrate behaviors and attitudes which support agency mission, philosophy, and policies.
• Willingness and ability to foster agency and program wide cooperation and teamwork through use of positive/constructive communication techniques,
• Possession of a valid NYS Driver’s license and use of a registered and reliable vehicle.

Physical Demands/Work Environment: The physical demands/work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, talk, hear, stand, walk, use hands to type and/or perform light lifting. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. The noise level in the work environment is usually quiet.

Compliance: Adheres to all applicable federal and state laws and regulations including, but not limited to, those governing confidentiality, privacy, program, billing and documentation standards. All duties must be performed in accordance with CCFCS’s corporate compliance & ethics program. Any offer of employment will be contingent upon successful completion of a background check. CCDOR considers all background check information in accordance with applicable law.

Top Benefits and Perks:

• Competitive salary and 403b retirement plan 
• Generous time off package and work-life balance 
• Comprehensive benefits package 
• Supportive and collaborative environment 
• Opportunities for growth and development 
• Intrinsic reward of truly making a difference in people's lives 

Join us and help make a positive impact in our community!

***Catholic Charities Family and Community Services is committed to leveraging the talent of a diverse workforce to create great opportunities for our agency and our people. EOE/AA Disability/Vet