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Patient Financial Advocate

2 months ago

Florence, Kentucky, United States Optum Full time
About the Role

We are seeking a highly skilled Patient Financial Advocate to join our team at Optum. As a Patient Financial Advocate, you will play a critical role in ensuring that patients and families receive the financial support they need to access quality healthcare services.

Key Responsibilities
  • Provide financial advocacy counseling to patients and families to help them navigate the complex healthcare system and access financial assistance programs.
  • Deliver education on affordability programs, qualified health plans, essential health benefits, and rights when using insurance, as well as Optum's financial assistance programs and policies.
  • Educate patients and guarantors on Optum's financial policies and financial assistance processes, and assist them with obtaining coverage, applying for financial assistance, and making payments or payment arrangements.
  • Assist patients and guarantors with opening or accessing an account with KYNect and obtaining help with premium and cost-sharing discounts through the Marketplace.
  • Understand web-based decision tools and guide patients through the process of narrowing choices for qualified health plans.
  • Review daily census or clinic schedule and identify any uninsured accounts that require screening or accounts with outstanding balances requiring intervention to discuss payment options.
  • Makes all efforts to contact uninsured patients in work queues and screens them for appropriate coverage or financial assistance and/or sets up payment arrangements.
  • Reviews uncollectible accounts such as deceased patient, bankruptcy, and return mail to send to agencies or attorney for next level of collection process.
  • Retrieves all necessary documentation of bad debt/charity adjustments as needed for Medicare Cost Report.
Requirements
  • High School Diploma / GED (or higher)
  • 1+ years of Patient Financial Advocate related experience, including data entry and medical billing
  • 1+ years of experience explaining patient liability amounts (deductible, co-pay, co-insurance)
  • Ability to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 6:30pm CST. It may be necessary, given the business need, to work occasional overtime
  • 18 years of age or older
Preferred Qualifications
  • Prior EPIC (EMR) experience
  • Working knowledge of KY Medicaid
  • Ability to read an Explanation of Benefits and explain out-of-pocket costs