Financial Patient Advisor

2 weeks ago


Monroe, Louisiana, United States Franciscan Missionaries of Our Lady Health System Full time
Job Overview

The Financial Patient Advisor is responsible for evaluating uninsured individuals for Medicaid and financial aid; assisting clients in the completion of Medicaid and financial aid applications; overseeing the Medicaid eligibility/application process; collecting patient responsibilities for uninsured inpatients and observation cases; and employing analytical skills to identify the most suitable resources available to support patients in need. The Financial Patient Advisor should possess comprehensive knowledge of all departmental processes from registration through to billing. This role requires familiarity with medical insurance and collections, as well as assisting in resolving issues related to a patient's financial obligations for services rendered. The Financial Patient Advisor will assess available funding options for which the patient qualifies. This position involves researching patient account inquiries and clarifying payments made on their accounts. The Financial Patient Advisor is expected to operate independently, manage their caseload effectively, and require minimal supervision.

Key Responsibilities

  1. Customer Service
    • Educates, screens, and assists patients lacking valid insurance coverage to enroll in third-party eligibility programs. Conducts interviews with eligible patients for potential funding sources, including Medicaid and financial assistance programs. Ensures all related functions are performed accurately and promptly.
    • Informs patients during interviews about relevant policies such as point-of-service collections, payment options, and financial assistance. Follows up with patients and the Medicaid Division to guarantee the proper completion of applications and submission of all necessary documentation. Remains updated on applicable statutes, regulations, and compliance policies that impact assigned tasks.
    • Submits Medicaid applications accurately and in a timely manner.
    • Meets with patients presenting as self-pay to obtain valid insurance coverage when applicable and reviews prior account information to secure insurance coverage. Updates departments with relevant information and modifies patient accounts accordingly.
    • Interacts with sensitivity towards patients and their families, responding to individual needs effectively. Demonstrates exceptional customer service and communication skills, with the ability to calm distressed patients and their families.
    • Acts as billing office customer service support, assisting patients and guarantors with billing inquiries, including payer benefits, EOB reviews, collections, and establishing payment plans.
    • Provides support to patients and their family members to ensure access to all available funding options.
  2. Analytical Skills
    • Evaluates patient financial situations based on interviews and inputs data into the financial counseling system. Documents all communications and related activities accurately in the appropriate systems.
    • Calculates patient out-of-pocket expenses and collects those amounts for uninsured inpatient and observation admissions with insurance coverage. Utilizes effective analytical skills and a professional demeanor when managing these collection scenarios.
    • Maintains comprehensive records for all patients applying for financial assistance, including applications, proof of income, acceptance/denial letters, and any other relevant documentation.
    • Ensures all accounts are prepared for routing for charity approval or billing with adequate supporting documentation within established timelines.
    • Demonstrates the ability to work independently, paying attention to detail and ensuring timely and accurate completion of tasks. Operates in a self-directed manner with minimal supervision.
    • Manages multiple responsibilities simultaneously and prioritizes tasks effectively.
    • Identifies trends that may indicate potential issues and informs the Supervisor/Manager/Director accordingly, playing a key role in initiating solutions.
  3. Interpersonal Relations
    • Collaborates closely with Case Management on a daily basis regarding notifications of active Medicaid coverage, authorizations, and changes to plans; obtains necessary authorizations and forwards them to Utilization Management when received.
    • Maintains daily communication with Utilization Management, Business Office, patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPOs, patients, patient families, physician offices, and other external entities.
    • Actively participates in and encourages others to utilize innovative approaches to accomplish tasks.
  4. Additional Duties
    • Performs other assigned duties as necessary.
Qualifications
  • Experience: Minimum of 1 year in financial services, insurance, or billing/patient accounts.
  • Education: Bachelor's Degree required.
  • Special Skills: Advanced clerical and computer skills; strong judgment, analytical, and communication skills essential for achieving goals in sensitive environments. Familiarity with various funding sources and eligibility criteria, along with a thorough understanding of hospital billing processes, is required.


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