Patient Advocate Representative

Conifer Health Solutions•San Antonio, TX

7d•Onsite

About The Position

The Patient Advocate Representative screens self-pay patients at the hospital bedside for eligibility in governmental and non-governmental programs. The role identifies potential payors—including auto insurance, Workers’ Compensation, commercial and private insurance, and third-party liability—and routes accounts appropriately within Patient Accounting. The representative obtains and completes Confidential Financial Statement forms and helps patients apply for benefits for which they may be eligible. The position conducts patient and family interviews, documents account activities throughout the in-house and Patient Accounting cycle, and performs financial clearance, including collections. It follows up on assigned accounts to confirm progress on government applications, builds productive relationships with patients, and communicates screening determinations and outcomes to hospital case management, social services, and admissions staff. The role may also include home visits for skip tracing or document assistance. Work location: North Central Baptist Hospital. Scheduled shift: Sunday through Thursday, 8:00 a.m. to 4:30 p.m. The work takes place in hospital and office facilities, with direct contact with patients and staff; some travel may be required. Candidates must provide confirmation of required vaccinations and screenings before starting, as applicable and permitted by law. Conifer Health describes its benefits package as competitive but does not specify individual benefits in the posting.

Requirements

High school diploma or equivalent.
Minimum of 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 literacy, including Windows and Microsoft Outlook, Excel, and Word.
Ability to work independently.
Excellent oral and written communication skills and clear understanding of the English language.
Detail-oriented, with the ability to deal with multiple facilities, supervisors, and hospital platforms.
Ability to prioritize and efficiently manage multiple tasks.
Ability to sit and work at a computer terminal for extended periods.
Ability to walk through a hospital environment, including broad campus settings and Emergency Department environments, and visit patients at bedside.
Ability to travel if required.
Provide confirmation of required vaccinations and screenings before starting employment, as applicable and permitted by law.

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 functions, including collections.
Cancel accounts when there has been no patient cooperation and the patient is ineligible for programs; prepare accounts for Financial Assistance review.
Follow up on assigned EES accounts to ensure follow-through on submitted government applications.
Develop working relationships with patients through good communication to facilitate timely processing of accounts for government program eligibility.
Conduct field visits to patient homes for skip tracing and/or to assist patients with documents.
Notify hospital case management, social services, and admissions staff of case screening determinations and outcomes through verbal and written communication.
Screen self-pay patients for eligibility in governmental and non-governmental programs and identify potential payors.
Obtain and complete Confidential Financial Statement forms and assist patients with applying for eligible benefits.