Financial Counselor

Job Details: Job Location: BMH Medical Records - Madison , WV, Position Type: Full Time, Salary Range: Undisclosed, Financial Counselor Full-TimePosition SummaryBoone Memorial Health is seeking a dependable and detail-oriented Financial Counselor to join our Business Office team. The Financial Counselor assists patients in understanding their financial responsibilities, identifying available health coverage and financial assistance programs, and establishing appropriate payment arrangements.This position plays an important role in coordinating Medicaid presumptive eligibility, assisting patients with insurance coverage, providing pre-service financial counseling, preparing Good Faith Estimates, and supporting accurate patient account processes. The ideal candidate will have strong communication and organizational skills, attention to detail, and the ability to discuss sensitive financial matters with compassion and professionalism.Essential Duties and Responsibilities Review uninsured patients for Medicaid eligibility, presumptive eligibility, and other available coverage or financial assistance programs. Complete Medicaid presumptive eligibility screenings, determinations, applications, and required submissions. Assist patients with obtaining or reinstating full Medicaid coverage by coordinating with the West Virginia Department of Human Services (DoHS). Monitor pending applications, missing documentation, eligibility decisions, renewals, and coverage effective dates. Maintain accurate Medicaid eligibility records and update applicable tracking systems and the TruBridge EHR. Coordinate with Registration, Scheduling, Prior Authorization, and other departments to review scheduled procedures and determine estimated patient financial responsibility. Contact patients before scheduled services to explain estimated out-of-pocket costs and discuss available payment options. Collect payments and establish payment arrangements in accordance with BMH policies. Explain the Financial Assistance Application (FAA) process and assist patients with appropriate referrals. Coordinate Good Faith Estimates, including preparation, delivery, documentation, and revisions in accordance with applicable requirements. Review online Patient Liability Estimate requests and communicate estimated costs to patients. Assist with patient account inquiries, insurance updates, payment posting, payment plans, and account follow-up. Provide Business Office coverage during staff absences, PTO, and periods of increased workload. Maintain accurate account documentation, reconcile payments, and follow established cash-handling procedures. Protect confidential patient and financial information in accordance with HIPAA and BMH policies. Identify opportunities for process improvement and perform other related duties as assigned. Qualifications and Requirements High school diploma or equivalent required. Minimum of two years of relevant experience in hospital patient accounting, financial counseling, patient access, insurance eligibility, or benefits enrollment. Ability to interpret insurance benefits, calculate patient financial responsibility, and maintain accurate account records. Strong communication, organization, problem-solving, and customer service skills. Ability to handle confidential information and communicate sensitive financial matters with empathy and professionalism. Ability to successfully complete required West Virginia Medicaid Presumptive Eligibility training. Preferred Qualifications: Experience with West Virginia Medicaid Presumptive Eligibility and WV PATH. Knowledge of Good Faith Estimates and healthcare financial assistance programs. Experience with hospital billing, patient collections, or patient financial services. Familiarity with TruBridge EHR and Microsoft Excel. Associate degree in Business, Healthcare Administration, or a related field. Prior training or certification in healthcare financial counseling or Medicaid eligibility. Licensure and Certification Requirements Must successfully complete required West Virginia Medicaid Presumptive Eligibility training and maintain competency. Must complete all BMH-required training, including HIPAA and patient confidentiality requirements. Healthcare financial counseling, patient financial services, or Medicaid eligibility certification is preferred but not required. Working Conditions and Physical RequirementsWork is performed primarily in an office or hospital setting with regular interaction with patients, clinical staff, and administrative personnel. Responsibilities include frequent computer use, telephone communication, document review, and patient interaction. The position may involve competing deadlines, interruptions, and sensitive financial discussions.The position generally requires sitting, speaking, hearing, viewing computer screens and records, and occasional movement throughout the office or hospital. Reasonable accommodations may be made to enable individuals with disabilities to perform essential job functions.Occasional travel to other BMH facilities or off-site locations may be required for training, meetings, or other work-related activities.Supervisory ResponsibilitiesThis position does not have direct supervisory responsibilities but requires coordination and collaboration with various departments to ensure timely completion of financial counseling, Medicaid eligibility, and patient account activities.Equal Employment OpportunityBoone Memorial Health is an Equal Opportunity Employer. BMH provides equal employment opportunities to all employees and applicants without regard to race, color, religion, age, sex (including pregnancy), national origin, disability, genetic information, military status, sexual orientation, gender identity or expression, family or parental status, political affiliation, or any other characteristic protected by applicable federal, state, or local laws.Qualifications: