Patient Advocate Representative

Conifer Health Solutions•New Braunfels, TX

6d•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, so accounts can be routed 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, maintains documentation throughout the in-house and Patient Accounting cycles, performs financial clearance and collections, and prepares appropriate accounts for Financial Assistance review. It follows up on assigned accounts involving government applications, builds effective working relationships with patients, and communicates screening outcomes to hospital case management, social services, and admissions staff. Field visits to patients’ homes may be conducted 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 systems 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 work 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 starting employment.

Nice To Haves

Bilingual ability, preferably Spanish.

Responsibilities

Screen self-pay patients at the hospital bedside for eligibility in governmental and non-governmental programs.
Identify potential payors, including auto insurance, Workers’ Compensation, commercial and private insurance, and third-party liability, and route accounts appropriately.
Obtain and complete Confidential Financial Statement forms and assist patients with applying for eligible benefits.
Conduct interviews with 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 patients have not cooperated and are ineligible for programs, and prepare accounts for Financial Assistance review.
Follow up on assigned accounts to ensure follow-through on submitted government applications.
Develop effective working relationships with patients through good 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 screening determinations and outcomes verbally and in writing.