Patient Financial Advocate I | Flormann St Clinic

Monument Health•Rapid City, SD

13d•Onsite

About The Position

The Patient Financial Advocate I serves as a point of contact for Revenue Cycle Pre-Arrival financial management workflows, helping patients and families understand and navigate insurance benefits, financial responsibilities, and available resources. The role includes financial clearance and registration support, price estimates, financial counseling, payment arrangements, resource eligibility assistance, and resolution of billing and collection issues. The advocate coordinates with patients, families, clinicians, and other internal and external stakeholders to provide a timely, accurate, and positive financial experience. The position requires planning and organizing multiple tasks that affect both patients’ financial health and the organization’s operations. It also involves maintaining accurate documentation, handling payments securely, supporting appropriate reimbursement, following established policies and workflows, and pursuing ongoing education and professional development.

Requirements

High school diploma or GED equivalent in General Studies.
Ability to work assigned schedules and hours as determined by the department.

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, registration support, financial counseling, and customer service follow-up.
Ensure financial management and financial clearance processes are completed accurately and on time according to policies, standard work processes, and guidelines.
Communicate with patients and families in person and by phone to identify financial, social, and medical requirements relevant to Pre-Arrival workflows.
Gather information for financial assistance requests, verify that new patient forms are complete and signed, and maintain accurate account documentation.
Work with patients and internal and external customers to identify funding resources and help complete and obtain approval for applications.
Counsel patients about out-of-pocket liabilities, including pre-service and post-service balances.
Create accurate cost-of-care estimates and distribute them in a timely manner according to regulatory requirements and organizational policy.
Calculate and collect patient financial liabilities, including deposits, copayments, coinsurance, and deductibles.
Establish payment arrangements before and at the time of visits, accept payments, and generate receipts.
Communicate financial clearance status and financial decisions to patients, families, clinicians, and appropriate operational leaders.
Follow up on third-party billing and patient balances to support prompt reimbursement 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, including legal action, with appropriate documentation.
Follow safe and secure cash-handling practices and maintain required safeguards and internal controls.
Apply business practices and work approaches that support organizational performance, customer relations, quality, and financial and operational outcomes.
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.