Patient Financial Advocate I

Monument Health • Rapid City, SD

112d • $18 - $21

About The Position

The Patient Financial Advocate I is responsible for serving as the point of contact for all functions and workflows within Revenue Cycle Pre-Arrival financial management. Through conducting a variety of tasks such as creation of price estimates, counseling patients regarding insurance coverage and benefits, arranging payment plans, assessing referrals for care, handling billing issues with third party payers, and assistance with determining eligibility for resources to assist with management of out of pocket responsibilities, this caregiver assists the patients and families with the navigation of the patient financial journey. The Patient Financial Advocate I is responsible for providing patients and families with a seamless financial experience by helping with the navigation and understanding of medical insurance benefits and potential financial responsibilities. This position requires the ability to plan, schedule and organize numerous tasks that directly impact the financial health of both the patient and the organization. This caregiver works collaboratively with key stakeholders across Monument Health to achieve a positive experience that promotes financial health as a key contributor to overall wellness.

Requirements

• High School Diploma/GED Equivalent in General Studies.
• 1+ years of HealthCare Administration or Operations Experience (preferred).
• 1+ years Billing/Collections Experience (preferred).

Responsibilities

• Performs and completes the workflows of Pre-Arrival patient financial management functions within Revenue Cycle.
• Conducts Financial Clearance including Pre-Registration, Pre-Arrival Insurance Benefit Management, and Authorization/Referral/Benefit Review.
• Provides Patient Admission and Registration Support for Inpatient, Outpatient, and ED Registration.
• Handles Financial Counseling including Price Estimations, Payment Planning and Arrangement, Fund Finding and Resource eligibility, Charity Care Review.
• Delivers Customer Service through Patient collections, Customer service follow-up, Third Party Insurance Follow up, Patient balance resolution.
• Ensures timely and accurate completion of the Pre-Arrival patient financial management and related financial clearance process.
• Communicates with all Monument Health patients and families to identify and understand financial, social, and medical requisites.
• Gathers relevant information required to process financial assistance requests and maintains accurate documentation.
• Counsels patients on all out of pocket liabilities including pre and post service balances.
• Creates accurate cost of care price estimations and distributes them timely.
• Calculates and collects patient financial liability including preservice deposits, co-payments, coinsurance, and deductible.
• Establishes appropriate payment arrangements before and at the time of visit.
• Communicates financial clearance status and applicable financial decisions with all appropriate parties.
• Demonstrates application of follow up processes necessary for prompt reimbursement of services.
• Practices safe and secure cash handling practices per Monument Health policy.
• Communicates effectively regarding financial clearance processes and reimbursement activities.
• Actively participates in seeking and developing educational and skillset opportunities.

Benefits

• Supportive work culture
• Medical, Vision and Dental Coverage
• Retirement Plans, Health Savings Account, and Flexible Spending Account
• Instant pay is available for qualifying positions
• Paid Time Off Accrual Bank
• Opportunities for growth and advancement
• Tuition assistance/reimbursement
• Excellent pay differentials on qualifying positions
• Flexible scheduling

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees