Patient Advocate Representative

Conifer Health Solutions•New Braunfels, TX

About The Position

The Patient Advocate Representative works at Resolute Health Hospital and screens self-pay patients at the bedside for eligibility for governmental and non-governmental programs. The role identifies potential payors, including auto insurance, Workers’ Compensation, commercial and private insurance, and third-party liability, to route accounts appropriately through Patient Accounting. It also involves obtaining and completing Confidential Financial Statement forms and helping patients apply for benefits for which they may be eligible. The representative interviews patients and family members, documents account activities throughout the hospital stay and Patient Accounting cycle, performs financial clearance and collections, and prepares appropriate accounts for Financial Assistance review. The role follows up on assigned accounts related to government applications, builds effective working relationships with patients, conducts home visits for skip tracing or document assistance, and communicates screening outcomes to case management, social services, and admissions staff. Work takes place in hospital and office facilities, with direct contact with patients and staff.

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 English.
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.
Obtain and provide confirmation of required vaccinations and screenings before employment, as applicable and permitted by law.

Nice To Haves

Bilingual, preferably Spanish.

Responsibilities

Screen self-pay patients at the hospital bedside for eligibility for governmental and non-governmental programs.
Identify potential sources of payment, 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 applications for eligible benefits.
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, including collections; cancel accounts without patient cooperation that 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 working relationships with patients through effective communication to help process accounts for government program eligibility.
Conduct home visits for skip tracing and/or to assist patients with documents.
Notify hospital case management, social services, and admissions staff of screening determinations and outcomes through verbal and written communication.