Patient Financial Advocate

Monument Health•Rapid City, SD

1d•$19 - $22•Onsite

About The Position

The Patient Financial Advocate I serves as a point of contact for Revenue Cycle Pre-Arrival financial management workflows. The role helps patients and families navigate the financial aspects of care by preparing price estimates, explaining insurance coverage and benefits, arranging payment plans, assessing care referrals, addressing third-party payer billing issues, and helping identify resources for out-of-pocket expenses. The advocate supports a seamless patient financial experience by helping patients understand their insurance benefits and potential financial responsibilities. The position involves planning and organizing numerous tasks that affect both patient and organizational financial health, and collaborating with stakeholders across Monument Health to promote positive patient experiences.

Requirements

High school diploma or GED equivalent in General Studies.
Sedentary work involving sitting most of the time and exerting up to 10 pounds of force occasionally, or negligible force frequently or constantly, to move objects.

Nice To Haves

At least 1 year of healthcare administration or operations experience.
At least 1 year of billing or collections experience.

Responsibilities

Complete Pre-Arrival patient financial management workflows, including financial clearance, registration support, insurance verification, financial counseling, patient collections, customer service follow-up, third-party insurance follow-up, and patient balance resolution.
Complete financial management and financial clearance processes accurately and on time, following applicable policies, standard work processes, and guidelines.
Communicate in person and by phone with patients and families across the organization to identify financial, social, and medical requirements relevant to Pre-Arrival workflows.
Gather information for financial assistance requests, verify that new patient forms are complete and signed, and maintain accurate documentation of account transactions and conversations.
Work with patients and internal and external customers to identify long-term funding resources and help complete and obtain approval for applications.
Counsel patients on out-of-pocket liabilities, including pre-service and post-service balances.
Create accurate cost-of-care estimates and distribute them promptly in accordance with regulatory requirements and Monument Health policies.
Calculate and collect patient financial liabilities, including pre-service deposits, copayments, coinsurance, and deductibles.
Establish payment arrangements before or at the time of visits, accept payments, and generate receipts.
Communicate financial clearance status and related decisions to patients, families, referring clinicians, Monument Health clinicians, and operational leaders.
Follow up to support prompt reimbursement of services and supplies billed to third parties and appropriate payment of patient balances.
Provide self-pay collection services in accordance with applicable policies, procedures, and guidelines; identify repeatedly delinquent accounts or accounts without acceptable payment terms and recommend further collection activity, including legal action when appropriate.
Follow safe and secure cash-handling practices and maintain required safeguards and internal controls.
Apply understanding of industry business structures, systems, best practices, trends, technologies, and performance-improvement approaches.
Communicate relevant information about financial clearance and reimbursement activities to internal and external customers.
Participate in educational and skill-development opportunities that support personal growth and career goals.
Perform other duties as assigned.