Patient Financial Advocate

Panorama Eye Care LLC•Lakewood, CO

10d•$22 - $24•Onsite

About The Position

The Patient Financial Advocate supports clinic functions through communication and cooperation with providers, technicians, supervisors, and clinical operations team members. The role eases administrative responsibilities for clinical support staff and serves as a liaison between patients, clinical support staff, and providers. The advocate helps patients understand and afford care by explaining insurance benefits and treatment costs, coordinating assistance programs, and working with clinical and administrative teams to resolve barriers to treatment. This is a full-time position at Denver Eye Surgeons in Lakewood, Colorado.

Requirements

High school diploma or GED.
Previous customer service experience.
Basic computer skills and knowledge of application software.
Knowledge of insurance plans, explanations of benefits, and deductibles.
Exceptional knowledge of and ability to use and document in EPM and EHR systems.
Ability to remain calm in stressful situations and when working with difficult patients or coworkers.
Ability to multitask, apply critical thinking, and solve problems.
Above-average time-management skills.
Ability to give and welcome feedback.
Knowledge of English grammar and spelling.
Ability to establish and maintain effective working relationships with patients, staff members, and physicians.
Exceptional customer service skills, including the ability to alleviate patient anxiety.
Ability to maintain the confidentiality of sensitive information and comply with HIPAA.
Ability to sit for extended periods with frequent stooping and stretching; lift up to 25 pounds; distinguish letters or symbols; coordinate eye and hand movements and use manual dexterity; raise hands and arms to shoulder level without restriction, pain, or discomfort; and use phones and a computer keyboard for extended periods without pain or discomfort.

Nice To Haves

Previous experience in a medical office setting.
Word processing and computer scheduling experience.
Knowledge of typical office work environments.

Responsibilities

Serve as a primary point of contact for patients who need financial guidance and support with treatment affordability.
Explain complex insurance and treatment information clearly and compassionately to patients and families.
Educate patients about insurance benefits, treatment costs, and available patient assistance programs.
Meet with patients after provider visits to review out-of-pocket costs for surgical procedures, in-office treatments and procedures, assistance applications, and medication initiation or changes.
Partner with physicians to explore alternative treatment plans when access to care is limited.
Evaluate and coordinate treatment options for urgent surgical procedures, in-office treatments, and in-office procedures.
Guide patients through completing Patient Assistance Program (PAP) and Foundation applications using electronic platforms.
Coordinate with Clinical Operations, Billing, and administrative teams to remove barriers to treatment access.
Review clinic schedules at least three weeks ahead to verify insurance eligibility, prior authorization status, and assistance-program progress.
Liaise between clinic staff and the pre-certification team regarding urgent authorization matters.
Collect payments as needed for surgical procedures, office procedures, office treatments, and large account balances.
Procure specialty medications and maintain vendor and pharmaceutical relationships.
Provide specialty-specific administrative support to providers, technicians, and supervisors.
Perform other duties as assigned.