Patient Financial Advocate
5 days ago
Cleveland Clinic is seeking a highly skilled Patient Financial Advocate to join our team. As a Patient Financial Advocate, you will play a critical role in ensuring that patients receive excellent customer service and that their financial accounts are accurately managed.
Key Responsibilities- Act as a liaison between the Patient Financial Advocate team and clinic operations to resolve customer inquiries related to billing and customer satisfaction in a timely manner.
- Communicate with patients and departments to resolve issues and document all interactions.
- Track and document each patient issue, obtaining resolution within 24 hours.
- Answer patient calls in a timely and courteous manner, logging each call in an established tracking format.
- Courteously assist walk-in customers from clinical areas and the cashier office.
- Resolve issues and concerns within 24 hours to meet patient satisfaction.
- Identify and respond to account errors, omissions, refunds, transfers, and charge reversals, keeping patients informed of account disposition.
- Accurately and efficiently correct account errors, adjustments, refunds, transfers, and charge reversals within established policies.
- Prepare and complete adjustments and account corrections within established clinic policies and enter adjustments and corrections into SIGNATURE.
- Collect patient account balances by entering and accepting payment installment agreements, discounts, cash, money orders, and credit card payments according to PFS policies and procedures.
- Review day sheets of daily appointments as appropriate and identify incoming patients carrying a large balance.
- Establish agreements and plans with patients for payment and resolving outstanding balances.
- Evaluate and determine the appropriateness of implementing the charity care program for eligible patients according to established CCF guidelines within one billing cycle of discovery.
- Collaborate with support team members and provide guidance, instruction, and support when completing team projects as directed by supervisor and administration.
- Participate in special projects and effectively cross-cover in areas as requested by the supervisor.
- Generate good suggestions to ensure an effective and streamlined patient accounting process.
- Follow appropriate channels to implement new procedures and communicate areas of compliance concerns to supervisor, Department Director, and compliance officer immediately upon recognition of such.
- An Associate's Degree in Accounting, Communication, Marketing, or a related field may substitute for up to two years of stated depth knowledge of patient accounts, which includes collections, insurance regulations, and reimbursement techniques.
- Knowledge of third-party payers, Medicare, physician billing, and pricing.
- Strong etiquette and a high level of professionalism.
- Must be knowledgeable of CPT and ICD coding requirements and the utilization and applications of both manuals.
- Insurance verification.
- Minimum four years of related experience.
- Experience in high-volume customer service telephone or direct contact environment, specifically in a healthcare environment.
The work environment is well-lit and air-conditioned, with a moderate noise level. The position requires sitting at a desk for extended periods and some filing and lifting. Personal protective equipment is used as required for procedures.
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