Patient Advocate Jobs

About The Position

Requirements

• High school diploma or GED required.
• Ability to identify and understand issues and problems, examine data, and draw logical conclusions from available information.
• Knowledge of and ability to explain Medicare, HIPAA, and EMTALA rules and regulations and comply with updates to insurance pre-certification requirements.
• Mathematical aptitude, effective oral and written communication, and critical-thinking skills.
• Understanding of basic human anatomy, medical terminology, and procedures used in patient referral, pre-certification, and authorization processes.
• Ability to communicate effectively with customers or employees and maintain a pleasant, professional demeanor during telephone conversations.
• Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to write routine correspondence and calculate figures and amounts such as discounts and percentages.
• Ability to work with minimal supervision, problem-solve in a high-profile and high-stress area, interact positively with internal and external customers, and prioritize work.
• Ability to sit for the majority of the workday and occasionally lift up to 10 pounds.

Nice To Haves

• Experience in patient access (scheduling, registration, and financial clearance), insurance verification, billing, or as a certified medical assistant is preferred.
• Experience with Microsoft Outlook, Word, Excel, and ADT software.

Responsibilities

• Greet patients arriving for appointments and monitor patient flow to support efficient, courteous care.
• Ensure patient demographic and insurance information is complete and accurate.
• Register walk-in patients and verify or update demographic and insurance information when needed.
• Obtain, calculate, and collect patients’ out-of-pocket financial liability, including past-due and current balances or estimates due.
• Follow the Financial Clearance policy for non-urgent services when financial clearance or authorization has not been completed, when appropriate.
• Identify patients who may need financial assistance and refer them to a Financial Counselor.
• Complete visit closure, including checking out patients, scheduling follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents.
• Maintain knowledge of Medicare, Medicaid, and third-party payer requirements, guidelines, and policies; plans requiring pre-authorization or referral; and accepted insurance plans.
• Proactively communicate customer-service issues and process-improvement opportunities to management.
• Meet productivity requirements and department performance expectations, including a 98% accuracy rate and established productivity measurements.
• Maintain positive relationships with patients, families, and clinical staff and collaborate to support concise, timely information flow.
• Handle sensitive and confidential information according to internal policies.
• Work with minimal supervision, solve problems in a high-profile, high-stress area, interact positively with internal and external customers, and determine work priorities.

Benefits

• Paid time off programs.
• Medical, dental, vision, life, short-term disability, and long-term disability benefits.
• Flexible Spending Accounts for eligible health care and dependent care expenses.
• Adoption assistance and paid parental leave.
• Defined contribution retirement plans with employer match and other financial wellness programs.
• Educational Assistance Program.
• Competitive compensation, premium pay for select circumstances, incentive pay for select positions, and potential annual performance-based increases.