Healthcare Financial Consultant
2 weeks ago
Patient Financial Advisor
Position Summary / Career Interest:
The Patient Financial Advisor plays a crucial role in delivering financial support to patients and their families within the healthcare system. This position assists individuals in navigating various payer options, including insurance coverage, Medicaid, Medicare, and other available resources tailored to their needs. Adherence to the organization's financial clearance and assistance policies is essential, along with maintaining high standards of productivity, quality, and customer service in line with departmental guidelines.
Key Responsibilities and Essential Functions
- Engages with patients or their families through phone or in-person interactions to gather information regarding financial assistance options. This includes inquiries about health insurance, homeowner's insurance, worker's compensation, pre-paid packages, grants, studies, COBRA, VA benefits, and other relevant programs, ensuring compliance with Medicare/Medicaid regulations.
- Evaluates patients' financial situations and aids them in achieving payment resolutions for their accounts, which may involve negotiating settlements, exploring insurance options, public assistance, payment plans, or charity considerations.
- Accurately updates patient account details and demographic information, ensuring a thorough review of accounts within one business day to confirm verification and pre-certification accuracy.
- Identifies potential Medicaid or Disability eligibility for patients as necessary, demonstrating the ability to interpret patient health information for disability assessments.
- Negotiates payment arrangements or settlements, and if payment is unfeasible, assesses eligibility for partial or full charity assistance, which includes completing financial assessment applications and gathering required documentation. Uncooperative patients may have their accounts referred for collections.
- Manages daily workload consisting of unsecured accounts, taking appropriate actions such as making phone calls and sending written communications while adhering to established codes and timelines.
- Provides assistance to walk-in clients seeking help and addresses customer service inquiries.
- Processes referrals from the Care Management Team for financial sponsorship.
- Responsible for Point of Service collections and documentation in the EPIC system when applicable.
- Must demonstrate the professional, clinical, and technical competencies required for the assigned department.
- This description outlines essential job functions and is not an exhaustive list of all responsibilities; additional duties may be assigned as necessary.
- High School Diploma or GED.
- Typing proficiency of at least 45 words per minute.
- A minimum of three years of combined experience in financial advising, claims processing, collections, customer service, or revenue cycle roles, including patient accounting and pre-registration.
- At least one year of experience with the Epic system.
- One year of experience in CPT-4 and HCPCS coding.
- Proficiency in Microsoft Word and Excel for at least one year.
- Ability to manage multiple tasks, prioritize effectively, and escalate issues as needed.
- Strong oral and written communication skills.
- Familiarity with insurance processes (both commercial and government).
- Understanding of payer websites and resources.
- Knowledge of transplant processes (BMT and/or Solid).
- Working knowledge of CMS regulations.
Full time
Job Requisition ID:
R-35104
We are an equal employment opportunity employer without regard to a person's race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.
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