Patient Financial Advocate - CO

Human Resources•Colorado Springs, CO

25d•Onsite

About The Position

The Patient Financial Advocate works in Revenue Cycle and reports to Revenue Cycle leadership. The role supports two Colorado facilities, Sheridan Grove and Spring Grove, by securing and maintaining verified patient coverage and taking ownership of unresolved coverage cases. The advocate works directly with patients and authorized representatives, helps complete Medicaid enrollment work, and follows cases through verified outcomes and documented handoffs to the revenue cycle team. The position reconciles patient census and coverage records with Admissions and UR; identifies uninsured patients, interrupted coverage, and renewal needs; screens patient circumstances; explains application or renewal pathways; gathers information and documents through approved channels; and submits accurate Medicaid enrollment, renewal, or restoration applications. The advocate tracks case status, requirements, deadlines, and next actions, follows up with patients, representatives, and agencies, verifies eligibility outcomes and coverage details, and records supporting evidence in designated systems. The role provides documented handoffs to UR and RCM, follows up on incomplete handoffs or continuing enrollment issues, explains benefits and financial options, protects patient and financial information, and escalates material barriers to Revenue Cycle leadership. This is a full-time, hourly, FLSA non-exempt position scheduled Monday through Friday, 8:30 a.m. to 5:00 p.m., with a 30-minute unpaid, duty-free lunch and 40 paid hours per week. The position works onsite at DEN and PCOS for at least two days per week at each facility; Revenue Cycle leadership assigns the remaining day and weekly site schedule. Both facilities are regular worksites, and the role is not remote. Required travel between worksites during the workday must be recorded as paid time; ordinary commuting to either regular worksite is not reimbursed.

Requirements

Hands-on experience helping patients or applicants complete Medicaid enrollment is required; general customer service, provider credentialing, or billing experience alone is not equivalent.
High school diploma or equivalent.
Ability to meet the onsite schedule and assigned work location requirements.
Ability to use electronic records, application portals, and standard office software.

Nice To Haves

Direct Medicaid enrollment work in the hiring state.
Patient-facing healthcare experience, particularly in substance use treatment.
Ability to explain coverage and financial terms in another language relevant to the served population.

Responsibilities

Reconcile patient census, verified coverage, and existing coverage-case records with Admissions and UR.
Identify uninsured patients, interrupted coverage, and cases needing renewal or other assistance.
Screen patient circumstances, explain the appropriate application or renewal pathway, and obtain required information and supporting documents through approved, authorized channels.
Complete accurate Medicaid enrollment, renewal, or restoration submissions and retain proof of receipt.
Follow the approved state playbook and current internal turnaround deadlines.
Track each case’s status, outstanding requirements, agency deadlines, and next action.
Follow up with patients, authorized representatives, and agencies until a verified outcome or documented escalation is reached.
Verify eligibility outcomes, coverage effective dates, and relevant payer information.
Record evidence in designated systems and distinguish submission, active coverage, authorization, and payment.
Provide UR and RCM with a documented handoff containing coverage evidence, dates, unresolved issues, and the next responsible party.
Follow up when a handoff is incomplete or an enrollment issue continues to block account resolution.
Explain benefits, estimated patient responsibility, financial assistance, and approved payment options in understandable language.
Resolve questions with billing staff without promising coverage or changing approved financial terms.
Protect patient and financial information, use approved systems, and promptly escalate material barriers to Revenue Cycle leadership.
Use approved tools to reduce repetitive work while verifying underlying evidence.
Work onsite at DEN and PCOS for at least two days per week at each facility, with the remaining day and weekly site schedule assigned by Revenue Cycle leadership.