Patient Advocate (Financial Counselor)

MNGI•Minneapolis, MN

2d•$23 - $27•Hybrid

About The Position

The Patient Advocate (Financial Counselor) is responsible for identifying preauthorization or referral requirements and the corresponding processes to assure compliance. This role involves researching and identifying payment and medical policies from insurance carriers, tracking prior authorizations, documenting submissions, analyzing denials, and collaborating with internal departments to improve the patient's financial experience. The position also requires establishing relationships with vendors and performing other assigned duties.

Requirements

High school diploma or GED required.
Must have at least two years experience in a health care or medical office setting.
Microsoft Office applications
Compassionate patient care
Active listening
Problem solve, prioritization, and critical thinking
Attention to detail and organization
Multitask
Communicate effectively verbally and in writing
Work independently as well as in a team environment
Type proficiently and accurately

Nice To Haves

Associates or Bachelor’s degree is preferred.
NextGen (Electronic Medical Record and Practice Management system) and related software preferred
Insurance payers preferred

Responsibilities

Research and identify payment policies from applicable insurance carriers as they relate to the specific specialty treatments, procedures, and programs prescribed to patient.
Identify preauthorization requirements for infliximab infusions, iron infusions, and PillCams, and complete necessary authorizations or corresponding processes.
Research and identify medical policies from applicable insurance carriers as they relate to the specific specialty treatments, procedures, and programs prescribed to patients.
Track process of prior authorization and ensure approvals are being received in a timely manner per department expectations.
Document all submissions, approvals and denials, and conversations with internal and external customers for inter-departmental communication purposes.
Analyze prior authorization denials and determine and execute appropriate next steps.
Collaborate with internal departments to identify and implement process improvements to the patient’s financial experience.
Utilize a data driven approach to identify issues and improve process efficiency while providing ongoing reporting that validates the success of the program.
Establish and foster relationships with vendors to allow access to programs, data, and other opportunities for collaboration.
Any and all other duties as assigned