Patient Advocate Representative
About The Position
The Patient Advocate Representative screens self-pay patients at the hospital bedside for eligibility for governmental and non-governmental programs. The role identifies potential payors—including auto, workers’ compensation, commercial, private, and third-party liability insurance—and routes accounts appropriately in the Patient Accounting environment. The representative obtains and completes Confidential Financial Statement forms and helps patients apply for benefits for which they may be eligible. The position includes conducting patient and family interviews, documenting account activities throughout the hospital stay and Patient Accounting cycle, performing financial clearance and collections, and preparing appropriate accounts for Financial Assistance review. The representative follows up on assigned accounts and government applications, builds productive relationships with patients, conducts field visits to patients’ homes for skip tracing or document assistance, and communicates screening decisions to hospital case management, social services, and admissions staff. The role is based onsite at Good Samaritan and involves work in hospital and office settings, direct contact with patients and staff, and some travel. The stated schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m.
Requirements
- High school diploma or equivalent.
- At least 2 years of work experience in Social Services, Hospital Admitting, or a related area.
- Working familiarity with rules and regulations pertaining to Federal, State, and County programs.
- Computer proficiency, including Windows and Microsoft Outlook, Excel, and Word.
- Ability to work independently.
- Excellent oral and written communication skills and a clear understanding of the English language.
- Detail-oriented, with the ability to work across multiple facilities, supervisors, and hospital platforms.
- Ability to prioritize and efficiently manage multiple tasks.
- Obtain and provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law.
- Ability to sit and work at a computer terminal for extended periods, walk through hospital and Emergency Department environments to visit patients at bedside, and travel if required.
Nice To Haves
- Bilingual Spanish.
Responsibilities
- Interview patients and/or family members.
- Record and maintain complete documentation of activities performed on accounts while in-house and during the Patient Accounting cycle.
- Perform financial clearance, including collections.
- Cancel accounts when there has been no patient cooperation and the patient is not eligible for programs; prepare accounts for Financial Assistance review.
- Follow up on assigned EES accounts to ensure follow-through on submitted government applications.
- Build working relationships with patients through effective communication to support timely processing of accounts for government program eligibility.
- Conduct field visits to patient homes for skip tracing and/or helping patients with documents.
- Notify hospital case management, social services, and admissions staff of case screening determinations and outcomes through verbal and written communication.
- Identify potential sources of payment and route accounts appropriately.
- Obtain and complete Confidential Financial Statement forms and assist patients with applying for eligible benefits.
Benefits
- Competitive benefits package.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
