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Patient Financial Advisor
2 months ago
Position Title: Patient Financial Advisor - Hybrid/Remote
Department: Rheumatology
Reports to: Office Manager
Position Overview: Accountable for confirming and collecting patient financial obligations, processing charges, and auditing records for infusion appointments. This role operates under a hybrid work model, with 3 to 4 days remote and 1 to 2 days in-office. Initial training is required in a designated location. Experience in securing prior authorizations and conducting benefit investigations is preferred, particularly in drug prior authorization.
**Minimum 1 year of relevant experience is essential.**
WHAT DOES FLORIDA MEDICAL CLINIC OFFER ITS TEAM MEMBERS?
We provide a comprehensive array of compensation and benefits that are among the finest in the industry. From competitive salaries to retirement plans, we prioritize the well-being of our employees.
- Offers a workplace that fosters pride and satisfaction
- Delivers outstanding training programs and growth opportunities
- Includes Medical Benefits such as:
- Employer Contributions to HSA high deductible plan
- Discounts at our medical facilities
- Cigna Open Access OAPIN & OAP plans
- Encourages Incentive-based Wellness Programs
- Provides company-sponsored Life Insurance with buy-up options
- Includes Dental, Vision, Long and Short Term Disability, Accident & Illness policy options
- Supports Paid Time Off and Holidays
- Offers a generous 401K plan with annual 3% Employer contribution after one year of service
- Values and recognizes its workforce
- Maintains a reputation for outstanding healthcare and quality service
- Financial Counseling
- Confirms eligibility and benefits for all patients in the Infusion Lab
- Calculates patient financial responsibilities for treatments
- Meets with patients to discuss benefits and clarify financial obligations
- Coordinates payment plans as approved by the Patient Collections Manager
- Reviews Infusion schedules prior to service dates and notes amounts for Check In Clerk to collect for each visit
- Acts as the primary contact for all Infusion patients regarding insurance eligibility and benefits inquiries
- Requests referrals and secures authorizations from insurance providers for all Infusion lab appointments
- Inputs referral authorization details into the Practice Management System
- Prepares educational materials for new chemotherapy patients
- Schedules patients for educational meetings
- Patient Assistance Programs
- Maintains up-to-date files and information on all patient assistance programs by scanning to charts and sharing with collectors
- Discusses available programs with patients
- Assists patients in completing necessary documents and forms for assistance programs
- Responsible for following up on the status of assistance programs and tracking coverage options
- Handles inquiries from pharmacy companies and foundations
- Meets with pharmacy representatives regarding patient assistance initiatives
- Assists with phone traffic
- Schedules appointments
- Takes messages
- Facilitates medication refill requests
- Addresses patient inquiries or needs
- Assists vendors
- Directs calls to the appropriate personnel
- Processes charges and audits records
- Posts chemotherapy and hospital charges
- Corrects records as necessary
- Ensures accuracy of ailment, insurance plan, provider, finance, department, date, diagnosis, and CPT for each charge
- Reviews notes if charges are in question. If unresolved, contacts office staff for clarification.
- Ensures correct NDC identifications are noted and linked to appropriate CPTs
- Reviews billing with providers when necessary
- Addresses all tasks promptly
- Works on hold reports bi-weekly and releases claims when appropriate. Follows up if no response.
- Collaborates closely with Physician Support Services when requests are made to place provider charges on hold for audit/review, as well as, release claims once reviewed.
- Maintains an organized and tidy workspace
- Serves as backup for front and back office tasks
- Performs other incidental and related duties as required and assigned
- Normal physical ability; able to sit for extended periods
- Normal concentration and complexity of decision-making
- High level verbal and written communication skills
- Above average ability to manage multiple tasks simultaneously
- Low risk exposure to bloodborne pathogens and chemical hazards
- High school diploma or GED equivalent
- Strong customer service orientation
- Excellent telephone etiquette
- Strong team player
- Basic computer proficiency
- Minimum 1 year of relevant experience is essential
We are an Equal Opportunity Employer and make employment decisions without regard to race, gender, disability or protected veteran status.
Florida Medical Clinic is a drug-free workplace and maintains a policy in which new hires will be required to submit to pre-employment drug testing. This policy is intended to comply with applicable laws regarding drug testing and any privacy rights.