Patient Advocate Representative

Conifer Health Solutions•Manchester, NH

12d•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 insurance, private insurance, and third-party liability, 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 conducts patient and family interviews, documents account-related activities, performs financial clearance and collections, and follows up on government applications. It also communicates screening determinations to hospital case management, social services, and admissions staff. The role is based in an office and hospital environment in Manchester, New Hampshire, with a Monday–Friday, 8:00 a.m.–4:30 p.m. schedule. Some travel may be required, including field visits to patient homes for skip tracing or document assistance.

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 a clear understanding of the English language.
Detail-oriented, with the ability to deal with multiple facilities, supervisors, and hospital platforms.
Ability to prioritize and manage multiple tasks efficiently.
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.
As applicable and permitted by law, obtain and provide confirmation of required vaccinations and screenings before employment begins.

Nice To Haves

Bilingual skills, preferably 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 with no patient cooperation that are ineligible for programs, and 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 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.
Identify potential payors and route accounts appropriately.
Obtain and complete Confidential Financial Statement forms and assist patients with benefit applications.