Patient Financial Advocate - Enterprise

Position Overview:

Reporting to the Director of Centralized Insurance Verification - Enterprise RCM, the Patient Financial Advocate is responsible for advising patients of their insurance coverage, benefits and explaining their financial responsibility. The role requires exceptional customer service skills with the ability to communicate effectively, both verbally and in writing, to patients, internal customers and external customers.

Responsibilities:

• Maintains current knowledge of patient scheduling, registration/intake processes and systems, medical necessity review, insurance eligibility verification and authorization, and billing models.
• Acts as the liaison between the facility and the patient or patient representative
• Notifies all patients of benefits and coverage, including significant gaps in coverage and/or high co-pays or deductibles prior to services being rendered
• Explains estimated up-front costs associated with an upcoming procedure and advises patients on payment options
• Manages outbound/inbound calls from patients regarding inquiries about services provided, financial responsibility and insurance coverage.
• Identify and document all patient accounts accurately with the outcome of financial calls
• Accurately completes all data entry necessary including patient demographics, insurance information and benefit details.
• Other duties as assigned.

Required Skills:

Qualifications:

• At least 1-2 years of healthcare experience. Revenue Cycle and/or Ambulatory Surgery Center experience is highly preferred.
• Proficiency in MS Word and Excel a must.
• Experience with Vision, AdvantX and/ or Waystar is helpful.
• Basic level mathematical proficiency, with a strong ability to understand, interpret, calculate and communicate financial responsibility.
• The ability to meet critical deadlines.
• Sound judgment and strong skills with respect to interpersonal relations, critical thinking, problem solving and analysis.
• Excellent communication skills.
• Must possess positive attitude to enhance a cooperative and energetic work environment.
• Excellent knowledge of health care billing procedures, documentation, regulations, payment cycles and standards.