Patient Fin Team Lead - Patient Access

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Kettering Health – Hamilton Campus | Full Time | Days

Location:

Hamilton Campus, Kettering Health Job Type: Full Time

Schedule:

Days

• This individual is responsible for pre‑screening and enrolling self‑pay (uninsured and underinsured) patients for external financial assistance programs, with a primary focus on Medicaid.
• Assists patients in completing financial assistance applications, educates them about their financial responsibility, and helps identify a path toward resolving balances.
• Communicates with patients both in person and over the phone, requiring a high level of customer service.

• Pre‑screens uninsured and underinsured patients bedside and through outreach to identify potential financial assistance opportunities.
• Assists patients without valid insurance coverage with enrollment in programs including, but not limited to, Medicare, Medicaid, and other state‑based assistance programs.
• Ensures financial assistance applications are accurately filled out and complete before approval.
• Staff coverage at other Kettering Health hospital facilities, when needed.
• Works in conjunction with on‑site state social workers or outside eligibility vendors to assist and complete Medicaid applications, ensuring this funding source is maximized based on patients’ eligibility.
• Initiates comprehensive interviews to determine each patient’s eligibility for Medicaid, hospital‑sponsored charity care, and other programs.
• Provides patients with personalized financial assessment‑based KH financial program guidelines, insurance coverage and estimated patient liability.
• Initiates payment arrangements, collects patient liability after financial assistance has been determined and applied.
• Educates patients on their insurance coverage, such as by providing explanations of common terms (e.g., copay); their billing statements to prevent confusion; and any other questions patients may have about their financial responsibility.
• Stays informed of any statutes and regulations that could affect the collection of receivables (e.g., insurance company changes, collection regulations, etc.).
• Coverage at other Kettering Health hospitals, as needed.

• High school diploma or GED required.
• At least two years of appropriate work experience that would indicate a high level of communication skills and organizational ability.

• Financial counseling, eligibility screening, and/or Medicaid application processing experience strongly desired.
• Prior experience performing community outreach preferred.
• Familiarity with statutes and regulations that can impact financial conversations.

• Broad knowledge of government advocate programs, guidelines, and application procedures.
• Strong written and verbal communication skills.
• Ability to effectively translate medical and administrative language into more familiar terminology.
• Strong attention to detail.
• Ability to comply with procedural guidelines and maintain confidentiality.

• Entry level

• Full‑time

• Health Care Provider

• Hospitals and Health Care