Patient Financial Advocate

UPMC•Pittsburgh, PA

11d•Onsite

About The Position

UPMC is hiring full-time Patient Financial Advocates to support the Patient Advocacy department at UPMC Magee Women's and Children's Hospitals. Employees may also be asked to cover Magee Women's, Children's, and Western Psychiatric Hospitals as staffing needs require. The position involves working in patient rooms Monday through Friday, with available shifts of 8:00 a.m.–4:30 p.m. or 11:00 a.m.–7:00 p.m. The Patient Financial Advocate provides timely and accurate financial counseling to uninsured or underinsured patients and helps them apply for Pennsylvania Medical Assistance, coverage through the Health Insurance Exchange Marketplace, and the UPMC Financial Assistance Program. The role also includes helping patients understand insurance benefits and potential out-of-pocket expenses, addressing billing concerns, and providing other forms of financial counseling.

Requirements

High school diploma or equivalent and five years of experience, or a bachelor's degree and one year of experience.
Proficiency in at least two patient accounting systems, such as EPIC, Medipac, AIM, and/or Invision.
Strong PC and computer skills.
Excellent communication and customer service skills.
Leadership skills.
Act 31 Child Abuse Reporting clearance, with renewal.
Act 33 clearance, with renewal.
Act 34 clearance, with renewal.
Act 73 FBI Clearance, with renewal.

Nice To Haves

Bachelor's degree in a related field, Business Administration, or Social Work.

Responsibilities

Perform duties in a manner that promotes UPMC's core values in consumer and UPMC interactions.
Help uninsured or underinsured patients obtain health care coverage through the Health Insurance Exchange Marketplace or Pennsylvania Medical Assistance.
Counsel patients and families in a hospital setting about available resources.
Use the Medical Assistance/Financial Assistance Screening tool with patients when applicable.
Submit Medical Assistance Presumptive Eligibility applications within the mandated five-day period.
Assist patients with applying for the UPMC Financial Assistance Program.
Ensure regulatory and financial requirements are met.
Explain insurance benefits to patients.
Provide other financial counseling, including requesting price estimates and setting up payment plans.
Monitor work lists and queues to ensure timely follow-up.
Resolve complex outstanding patient issues.
Review and analyze accounts flagged for review each day.
Assist walk-in patients with billing inquiries in conjunction with the Patient Financial Services Department.
Provide benefit education and financial counseling about potential out-of-pocket expenses for patients with scheduled services.
Maintain department productivity levels and comply with quality standards.
Perform in accordance with system-wide competencies and behaviors.
Perform other duties as assigned.