Patient Financial Advocate

Cleveland Clinic
Remote

About The Position

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. Patient Financial Advocates assist patients in navigating financial responsibilities when they are uninsured or when their insurance is not accepted at Cleveland Clinic. In this position, you will counsel patients and responsible parties regarding their payment obligations and available options. Your efforts can positively impact the lives of patients and their families in numerous ways, offering a unique opportunity to make a lasting difference in your community and beyond. A caregiver in this role works remotely from 8:30 a.m. – 5:00 p.m. To be considered for this position, candidates must reside in the Northeast Ohio area.

Requirements

  • High School Diploma/GED and three years of experience in a customer-facing role with in-person or phone contact OR Associate’s Degree and two years of experience OR Bachelor’s Degree and one year of experience

Nice To Haves

  • Associate’s or Bachelor’s Degree
  • Epic system experience, specifically with the Resolute module
  • Strong finance background
  • Knowledge of insurance processes, including deductibles, co-insurance, and co-pay responsibilities
  • Prior experience in medical collections, banking, or a similar financial services role

Responsibilities

  • Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance by explaining financial responsibilities for services received, payment options and collection procedures to patients and parties responsible for payment.
  • Contact insurance carriers or other sources and act as an advocate for the patient.
  • Initiate process for collecting prepays due and perform follow-up to ensure maximum collection is achieved.
  • Identify and resolve issues related to registration, financial clearance, insurance company authorization requirements, billing, insurance company explanation of benefits, provider-based billing, governmental requirements, HCAP/FAP policies and restrictions, MyAccount and collections.
  • Update and correctly document in appropriate computer systems.
  • Scan letter of agreements and send clinical clearance notifications.
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