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Patient Financial Advisor

2 months ago


Le VerdonsurMer, Nouvelle-Aquitaine, United States Florida Medical Clinic Full time
Our Commitment is to provide exceptional healthcare services in our community

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
Key Responsibilities:
  • 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.
Additional Duties:
  • 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
Physical and Mental Requirements:
  • 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
Occupational Exposure:
  • Low risk exposure to bloodborne pathogens and chemical hazards
Job Qualifications:
  • 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.