Financial Advocate

1 day ago

Park Ridge, Illinois, United States Advocate Aurora Health Full time
About the Role

We are seeking a highly skilled Financial Advocate to join our team at Advocate Aurora Health. As a Financial Advocate, you will play a critical role in ensuring that patients receive clear and accurate information about their financial responsibilities, while also identifying opportunities to provide financial assistance and support.

Key Responsibilities
  • Financial Counseling: Provide patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service.
  • Communication: Communicate patient liability clearly and accurately, explaining concepts such as deductibles, coinsurance, and copayments, and how they may affect the cost of care.
  • Payment Arrangements: Request upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances, and establish payment arrangements in advance of scheduled services when applicable.
  • Financial Assistance: Identify available assistance programs and coordinate with patients to complete paperwork and applications for potential coverage.
  • Medicaid and Charity Care: Initiate credit scoring to determine each patient's eligibility for Medicaid, hospital-sponsored charity care, and other programs through a comprehensive patient interview.
  • Insurance Benefits: Demonstrate working knowledge of insurance benefits, insurance companies, and Marketplace insurance options, and stay informed of other payer sources entering the markets.
  • Policy Education: Educate physician office/patient on the organization's applicable policies, such as Financial Assistance Policy, Patient Financial Responsibility, Non-Covered Services, and Deferral of Care.
  • Regulatory Compliance: Stay current on regulations and eligibility requirements for government funding, especially Medicare and Medicaid, and understand and comply with all internal charity care policies and processes.
  • Collaboration: Collaborate with peers in the operational flow for uninsured patients or patients that are concerned about costs for upcoming services.
Requirements
  • Education: High School Graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).
  • Experience: Typically requires 2 years of experience in Patient Access, healthcare, insurance industry, or in a customer service setting.
  • Knowledge and Skills: Ability to communicate clearly and proactively to management about issues involving customer service and process improvement opportunities; ability to articulate explanations of HIPAA and EMTALA regulations as they relate to all patient interactions within the operational flow involving the Financial Advocate; solid knowledge of how various types of insurances operate related to denials and appeals processes; basic medical coding knowledge; understanding of insurances, billing, and denials; ability to use a combination of scripted notes and clear, written communication when documenting in patients' accounts.
About Advocate Aurora Health

Advocate Aurora Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia, and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience, and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics, and rehabilitation, as well as organ transplants, burn treatments, and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

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