Conifer Health Solutionsposted 2 months ago
Memphis, TN
Ambulatory Health Care Services

About the position

The Patient Advocate Representative is responsible for screening self-pay patients at the hospital bedside for eligibility in various governmental and non-governmental programs. This role involves identifying all sources of potential payors, including auto insurance, Workers' Compensation, commercial insurance, private insurance, and TPL, to route accounts appropriately in the Patient Accounting environment. The representative will also obtain and complete the Confidential Financial Statement form and assist patients in applying for any benefits for which they may be eligible.

Responsibilities

  • Conducts interviews with patients and/or family members.
  • Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.
  • Performs financial clearance function including collections.
  • Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
  • Follows up on EES assigned accounts to ensure follow-through on Government application submitted.
  • Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
  • Conducts field visits to patient homes for skip tracing and or assisting patient with documents.
  • Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.

Requirements

  • High School diploma or equivalent.
  • Minimum 2 years work experience with Social Services or Hospital Admitting or related area.
  • Working familiarity with the rules and regulations pertaining to Federal, State and County programs.
  • P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs.
  • Ability to work independently.
  • Excellent oral and written communication skills, as well as the clear understanding of the English language.
  • Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms.
  • Ability to prioritize and manage multiple tasks with efficiency.

Nice-to-haves

  • Bi-lingual preferred (Spanish).
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