The Patient Assistance Counselor is responsible for interviewing, verifying insurance benefits, and following up with uninsured and underinsured patient referrals to assess and assist with their medical, social and financial needs. The individual reviews financial assistance and medication assistance applications to ensure program and financial requirements are met. The individual may calculate income and assets totals and determine level of financial assistance award, and medication assistance eligibility, according to protocol. The Patient Assistance Counselor maintains a thorough knowledge of health care coverage opportunities available through local, state or federal and pharmaceutical programs and Foundation grants, and assists with outreach and enrollment to bridge patients with these resources.

JOB QUALIFICATIONS

EDUCATION

For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation.

Minimum Required: High school diploma or equivalent.

Preferred/Optional: Successful completion of a diagnosis, current procedural terminology (CPT) and medical terminology courses at time of hire.

EXPERIENCE

Minimum Required: Two years’ experience in medical business office, health care setting or comparable experience required.

Preferred/Optional: None

CERTIFICATIONS/LICENSES

The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position.

Minimum Required: For positions hired within the FHC dental centers:

o Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of hire.

o Certified Application Counselor designation through the Centers for Medicare and Medicaid Services within three months from the first fall training offered after hire.

Preferred/Optional: For positions hired within the FHC dental centers:

o Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.

o Certified Application Counselor designation through the Centers for Medicare and Medicaid Services at time of hire.