Patient Financial Advisor II

UT Southwestern Medical Center • Dallas, TX

23h • Remote

About The Position

The Patient Financial Clearance team at UT Southwestern has a new position available for the role of Patient Financial Advisor II. This position operates with limited oversight and guidance to provide financial counseling and clearance to patients that occur across two or more revenue locations. This is a remote, work-from-home position that functions in a call center-style environment, focused on delivering high-quality customer service over the phone. Core duties for this position include the following:
Patient Communication: Clearly explain billing statements, answer questions about charges, and address concerns regarding financial responsibilities for upcoming services.
Financial Assistance: Guide patients through various financial assistance programs and eligibility criteria.
Payment Processing: Collect payments for upcoming services and/or outstanding balance.
Debt Resolution: Offer solutions and negotiate payment plans for patients facing challenges settling their bills.
Compliance: Ensure all interactions and processes adhere to UT Southwestern financial policies and regulations
Work From Home (WFH): This is a WFH position. However, applicants must live within the State of Texas. Additional details shall be provided as part of the interview process.
Shifts: Monday – Friday, 8-hour workday. The shifts will be one of the following (below) and shall be discussed in greater detail during the interview.

Requirements

• High School Diploma or
• Associate's degree or
• Bachelor's Degree
• 5 years of financial counselor or equivalent experience with High School Diploma.
• 3 years of financial counselor or equivalent experience with Associate's Degree.
• 1 year of financial counselor or equivalent experience with Bachelor's degree.

Responsibilities

• Provides complex financial counseling for services that occur across two or more revenue locations.
• Provides training to Financial Wellness Advisor I's and other employees as needed related to financial counseling services.
• Responsible for confirming patient insurance eligibility and providing complex benefits review in support of multiple revenue locations for single visits and extended episodes of care. Reviews benefits to ensure that organization and patient understand the extent of coverage for services. Assists with prior authorization requests when appropriate to expedite access to services.
• Provides combined cost estimates for facility and professional services. Accurately utilizes cost estimate technology to create cost estimates for services and communicates estimated costs to patients and other affected parties.
• Accurately posts payments and creates payment plans for upcoming services and/or outstanding balances.
• Responsible for reviewing account details for patient education and/or correction:
• Reviews balances and communicates to patient and other affected parties about outstanding balances.
• Assists patients in resolving account questions and concerns.
• Correctly identifies and advises patient on options to resolve bad debt balances.
• Advises patient about financial and special entitlement programs (such as charity programs, drug assistance programs, and other patient assistance options).
• Responsible for coordinating and completing financial assistance application for charity care program
• Responsible for understanding the revenue cycle, including all involved parties and appropriate escalation pathways.
• Knowledge of various regulatory agencies: JCAHO, Medicare/Medicaid Laws, State & Federal Laws, Hospital/Departmental Policies.
• Duties performed may include one or more of the following core functions: a) Directly interacting with or caring for patients; b) Directly interacting with or caring for human-subjects research participants; c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level