Patient Financial Advocate I | Flormann St Clinic

Monument Health•Rapid City, SD

28d•$19 - $22•Onsite

About The Position

The Patient Financial Advocate I serves as a point of contact for Revenue Cycle Pre-Arrival financial management workflows. The role helps patients and families navigate the financial aspects of care by explaining insurance benefits and potential out-of-pocket responsibilities, creating price estimates, arranging payment plans, assessing referrals, addressing third-party payer billing issues, and helping identify resources that may assist with healthcare costs. This position coordinates and completes financial clearance, registration support, financial counseling, and customer-service workflows. It requires planning and organizing multiple tasks that affect both patients’ and the organization’s financial health. The advocate works with patients, families, and internal and external stakeholders to provide a timely, accurate, and seamless financial experience and to support a positive environment focused on financial health and overall wellness.

Requirements

High school diploma or GED equivalent in General Studies.
Ability to work assigned schedules and hours as determined by the department.
Ability to perform sedentary work, including sitting most of the time and exerting up to 10 pounds occasionally or negligible force frequently or constantly.

Nice To Haves

At least 1 year of healthcare administration or operations experience.
At least 1 year of billing or collections experience.

Responsibilities

Complete Pre-Arrival patient financial management workflows, including financial clearance, pre-registration, insurance benefit management, authorization and referral review, registration support, insurance verification, financial counseling, and customer service.
Ensure financial management and clearance processes are completed accurately and on time in accordance with policies, standard work processes, and guidelines.
Communicate with patients and families in person and by phone to identify financial, social, and medical information needed to facilitate financial management workflows.
Gather information for financial assistance requests; verify that new-patient forms are complete and signed; and maintain accurate documentation of account transactions and conversations.
Work with patients and internal and external customers to identify long-term funding resources and help complete and obtain approval for applications.
Counsel patients on pre- and post-service out-of-pocket liabilities.
Prepare accurate cost-of-care estimates and distribute them promptly in accordance with regulatory requirements and organizational policy.
Calculate and collect patient financial liability, including pre-service deposits, copayments, coinsurance, and deductibles.
Establish payment arrangements before or at the time of a visit; accept payments and generate receipts.
Communicate financial clearance status and decisions to patients, families, referring clinicians, Monument Health clinicians, and appropriate operational leaders.
Follow up on third-party reimbursement and patient balances to support prompt and appropriate payment.
Provide self-pay collection services in accordance with applicable policies and guidelines; identify repeatedly delinquent accounts or accounts without acceptable payment terms and recommend further collection activity when appropriate.
Follow safe and secure cash-handling practices and maintain required physical safeguards and internal controls.
Communicate relevant financial-clearance and reimbursement information effectively to internal and external customers.
Participate in educational and skill-development opportunities that support personal growth and career goals.
Perform other duties as assigned.