Patient Advocate Representative

Conifer Health Solutions•Natick, MA

20d•$21 - $31•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, Workers’ Compensation, commercial, private, and third-party liability insurance—and routes accounts appropriately within Patient Accounting. The representative also obtains and completes Confidential Financial Statement forms and assists patients with applications for benefits for which they may be eligible. The position is based at Metrowest Medical Center and works Monday through Friday, 8:00 a.m. to 4:30 p.m. It involves work in hospital and office facilities, direct contact with patients and staff, bedside visits, and potentially some travel, including field visits to patient homes. Conifer requires candidates, as applicable and as permitted by law, to provide confirmation of required vaccinations and screenings before employment begins.

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 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.
Provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

Bilingual Spanish skills preferred.

Responsibilities

Conduct interviews with patients and/or family members.
Record and maintain complete documentation of activities performed on accounts while patients are in-house and during the Patient Accounting cycle.
Perform financial clearance functions, including collections.
Cancel accounts that have had no patient cooperation and are ineligible for programs, and prepare accounts for Financial Assistance review.
Follow up on EES-assigned accounts to ensure follow-through on submitted government applications.
Develop working relationships with patients through effective communication to help process accounts promptly 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 payor sources to route accounts appropriately.
Obtain and complete Confidential Financial Statement forms and assist patients with applications for eligible benefits.

Benefits

Medical, dental, vision, disability, and life insurance.
Paid time off, including vacation and sick leave; at least 12 days per year, accruing at approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Health savings accounts and healthcare and dependent flexible spending accounts.
Employee Assistance Program.
Employee discount program.
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare benefits, AD&D, and auto and home insurance.
Conifer-observed holidays are paid at time and a half.
Shift differentials of $1.00–$2.50 per hour may be available depending on the shift worked.