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Financial Counselor, Behavioral Health

Edwards, Colorado, United States; Remote

Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital.  This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

 
Some roles may be based outside of our Colorado office (remote-only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.
 
About the opportunity:

The role of the Financial Counselor is to increase health insurance coverage for patients, ensure access to Olivia’s Fund Scholarship (OFS) and Employment Assistance Programs (EAPs) for eligible participants, and support the complex insurance, billing, and access needs of the most vulnerable members of the community. The Financial Counselor will support patients with billing, payment, and financial navigation questions to maximize the revenue captured by Vail Health Behavioral Health and minimize associated financial hardship for patients due to their cost of care.

 
What you will do:
    1. Determines the financial responsibility of patients. Assists patients/representatives with establishing payment plans. Collects required deposits and payments due on accounts. Serves as a point of contact for all patient or potential patient benefit questions. Works to identify and communicate behavioral health benefits, patient responsibility, and any limitations.
    2. Provides enrollment assistance and health coverage education to uninsured children, adults, and families to help them access behavioral health care.
    3. Works with the scheduling teams and behavioral health providers to ensure all appropriate prior- and pre-authorizations are completed on time including providing the patient information about deductibles, co-payments, etc. and problem-solving ways to support patients who are under-insured or unable to cover the cost of services.
    4. Works directly with insurance companies, Medicaid, Medicare, Employee Assistance Programs, Olivia’s Fund Scholarship, etc. to understand behavioral health benefits, advocates for increased coverage, problem-solves barriers for payment and service provision, and helps patients navigate payer sources.
    5. Serves as a point of contact for all patient financial queries. Works with Eagle Valley Behavioral Health and Vail Health billing departments to explore and research patient concerns.
    6. Participates in quality control audits of processes that impact billing, including patient registration, appointment type coding, prior authorizations, insurance confirmation, and payer set-up in electronic health record.
    7. Utilizes the behavioral health financial navigation reference guides to ensure accurate, precise, and timely implementation of policies and procedures impacting billing and patient experience.
    8. Tracks and manages financial programs and referrals including Olivia’s Fund, Employee Assistance Programs, Worker’s Compensation, Veterans Affairs, etc. and communicates with Revenue Cycle and third-party vendors to address billing questions.
    9. Accurately tracks and monitors assistance and enrollment numbers, billing concerns, patient stories, and issues related to enrollment, registration, and behavioral health billing. 
    10. Attends and successfully completes all required training programs, participates in weekly calls, webinars, and other professional development opportunities. Assists in training of staff. 
    11. Models the principles of a Just Culture and Organizational Values.
    12. Performs other duties as assigned. Must be HIPAA compliant, comply with procedural guidelines, and maintain confidentiality.
This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
 
What you will need:
 
Experience:
  • Two years of similar work experience defined through prior roles with a similar level of communication, organization, customer service and exposure to regular/recurring financial transactions, preferred.
  • Previous hospital admissions or patient accounts office experience, preferred.
  • Bilingual in English and Spanish, preferred.
License(s):
  • N/A
Certification(s):
  • N/A
Computer / Typing:
  • Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Must be comfortable working with various computer programs, including the Microsoft Office suite.
Must have working knowledge of the English language, including reading, writing, and speaking English.
 
Education:
  • N/A

 

The posted salary range for this position applies to Colorado and may be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions, including but not limited to experience, education, licensure and/or certifications, geographic location, market demand and other business and organizational needs. 

 

 

 

Benefits at Vail Health (Full and Part Time) Include:

  • Competitive Wages & Family Benefits:
    • Competitive wages
    • Parental leave (4 weeks paid)
    • Housing programs
    • Childcare reimbursement 
  • Comprehensive Health Benefits: 
    • Medical
    • Dental 
    • Vision
  • Educational Programs: 
    • Tuition Assistance 
    • Existing Student Loan Repayment
    • Specialty Certification Reimbursement
    • Annual Supplemental Educational Funds
  • Paid Time Off:
    • Up to five weeks in your first year of employment and continues to grow each year.
  • Retirement & Supplemental Insurance:
    • 403(b) Retirement plan with immediate matching 
    • Life insurance
    • Short and long-term disability
  • Recreation Benefits, Wellness & More:
    • Up to $1,000 annual wellbeing reimbursement
    • Recreation discounts
    • Pet insurance

 

Pay is based upon relevant education and experience per hour.

Hourly Pay:

$20.95 - $27.04 USD

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I certify that all the information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. I understand that Vail Health may request an investigative consumer report from a consumer reporting agency. I understand I have the right to make a written request within a reasonable time for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. Vail Health may request information as to my character, reputation, personal characteristics and mode of living from my neighbors, friends, former employers, school and other. I authorize that investigation of any or all statements contained in this application and also authorizes whether listed or not, any person, school, current employers (except as previously noted), past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying. I agree to immediately disclose to Vail Health any debarment, suspension, exclusion, conviction of a criminal offence, or other event that may make me ineligible to participate in federally funded healthcare programs. I understand and I will be required to successfully pass a drug screening examination. I hereby consent to a drug screening as a condition of employment.

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