Patient Financial Advocate

Intermountain Health • San Jose, CA

1d • Onsite

About The Position

A Patient Financial Advocate is responsible for providing financial counseling to uninsured/ underinsured patients, by determining medical assistance eligibility for patients in clinic, hospital outpatient/inpatient, emergency settings, and in a call center environment. Patient Financial Advocates assist patients with submitting and/or processing documentation to complete applications for various medical assistance programs, such as: State/ Federal public benefits, ACA insurance availability, and internal/ external financial assistance programs. A Patient Financial Advocate will provide general insurance education, provide price quotes to potential patients, and assist with payments and payment arrangements.

Requirements

• Demonstrated experience in healthcare revenue cycle, patient access or other customer service role.
• Demonstrates knowledge of the Affordable Care Act, Insurance billing, medical terminology, and reimbursement practices.
• Demonstrated proficiency in interpreting insurance Explanation of Benefits.
• Demonstrated proficiency in computer skills including Microsoft Office applications, electronic health record systems, internet and email
• Demonstrates excellent communication, interpersonal, and problem-solving skills.
• Ability to work independently and collaboratively in a fast-paced and dynamic environment.
• Ability to maintain confidentiality and comply with HIPAA and other regulations.
• Ability to demonstrate compassion, empathy, and respect for patients and their families.

Nice To Haves

• High School Diploma or GED.
• Experience in financial counseling, insurance verification, or collections.
• Experience with Epic
• Bilingual Spanish speaking

Responsibilities

• Provides financial counseling and assistance to patients and their families, explaining their insurance coverage, benefits, and out-of-pocket costs.
• Identifies and facilitates the application of financial assistance programs, such as Medicaid, charity care, or payment plans, for eligible patients.
• Completes and submits appropriate applications to Department of Human Services or MA Site as applicable.
• Follows up through determination.
• Obtains and verifies insurance information, authorizations, and referrals for scheduled and unscheduled services.
• Reviews and updates patient accounts, ensuring accuracy and completeness of demographic and financial information.
• Follows up with patients, providers, and insurance companies to resolve billing issues and disputes.
• Educates patients on their financial obligations and rights and provide information on billing policies and procedures.
• Documents all financial counseling and assistance activities in the electronic health record system.
• Collaborates with other departments and teams to ensure a positive and seamless patient experience.

Benefits

• Comprehensive benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Up-front tuition coverage paid directly to the academic institution.
• 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
• Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed