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AloricaTucson, AZ, United StatesHealthcare Financial Counselor
ArchWell HealthTucson, AZ, United States- Full-time
Healthcare Financial Counselor
Tucson, AZ, USA Req #12079
Monday, March 3, 2025
ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.
Job Summary :
The Member Financial Counselor will directly support ArchWell Health members with signing up for state and federal assistance programs to optimize benefits they are eligible to receive. This role will be member facing and require the counselor to travel and work within their assigned and Market to engage with members at centers. This role will require technological proficiency and the ability to competently navigate the requirements of the health plans, state and federal assistance programs. An ideal candidate will have strong attention to detail during significant data input, respond well to ongoing feedback from leadership, and have the ability to communicate effectively with seniors.
Duties / Responsibilities :
- Assist members in completing paperwork for eligibility determination, enrollment, and recertification of state and federal programs, including Medicaid, D-SNP, Medicaid and Medicare Savings Program (MSP), Low-Income Subsidy (LIS), Supplemental Nutrition Assistance Program (SNAP), Low Income Home Energy Assistance Program (LIHEAP), and Lifeline
- Evaluate, research and document financial histories of patients in relation to Medicaid and other state / federal program regulations
- Enter and update data into various internal and external systems (financial management system, Medical Eligibility Program database, etc.), including data to assist in the necessary capture for reporting
- Meet with members and / or guarantor on-site, by appointment or walk-in, or over the phone, to assist with Medicaid, Marketplace or other state / federal application process
- Contact providers, nurses, social workers, employers, banks, etc. to obtain appropriate medical, legal and financial information to complete Medicaid
- Support ArchWell Health Cost Share Assistance Program for assigned Market
- Other related duties as directed by financial program leader
- Exercise and maintain patient confidentiality by complying with all federal, state, and local statues or other agency regulations pertaining to confidentiality and patient's right to privacy
- Use strict self-discretion and control in the disclosing of patient information in accordance with company policy and compliance regulations
- Make recommendations for process improvements to Financial Counseling leadership
Required Skills / Abilities :
Minimum Qualifications :
Be compassionate
About ArchWell Health :
At ArchWell Health, we're creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.
Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We're passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.
ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.
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