Financial Advocate

This is a fully remote position, open to applicants in United States.

📋 Description

• Serve as a bridge between health services and consumers regarding costs, funding options, and payment alternatives.

• Inform consumers about care costs while assisting in planning and managing their financial responsibilities.

• Generate customized estimates of patient financial obligations based on their insurance coverage.

• Clarify patient liabilities, deductibles, coinsurance, copayments, non-covered services, and out-of-network expenses.

• Collect upfront payments for self-pay amounts and any outstanding balances.

• Set up payment plans and communicate due dates and amounts for installments.

• Conduct interviews with uninsured patients to evaluate their financial needs.

• Identify assistance programs and facilitate the completion of coverage paperwork and applications.

• Follow up to secure funding sources for patients' health services.

• Initiate credit scoring for Medicaid, hospital-sponsored charity care, and other program eligibility assessments.

• Partner with state social workers and external eligibility vendors on Medicaid applications.

• Maintain up-to-date knowledge of insurance benefits, insurance companies, Marketplace options, and other payer sources.

• Educate physician offices and patients about financial assistance, patient financial responsibilities, non-covered services, and deferral-of-care policies.

• Collaborate with provider offices to coordinate scheduling based on funding requirements and financial responsibilities.

• Stay informed about Medicare, Medicaid, government funding regulations, eligibility criteria, charity care policies, and 501R regulations.

• Conduct patient interviews in accordance with HIPAA and manage demographic data, discussion topics, and actions taken.

• Work collaboratively with peers on operational workflows for uninsured or cost-conscious patients.

• Assist consumers in various settings including virtually, at the bedside, in the Emergency Department, clinics, Urgent Care, consultations, and Financial Resource Specialist offices.

⛳️ Requirements

• High School Diploma, Certificate of General Educational Development (GED), or High School Equivalency Diploma (HSED).

• Generally requires 2 years of experience in Patient Access, healthcare, insurance, or a customer service environment.

• Ability to communicate clearly and proactively with management regarding customer service and process improvement matters.

• Able to articulate HIPAA and EMTALA regulations as they pertain to patient interactions.

• Strong understanding of insurance operations related to denials and appeals processes.

• Basic knowledge of medical coding.

• Familiarity with insurance, billing, and denial processes.

• Capable of using scripted notes and clear written communication for patient account documentation.

• Willingness to travel and work under varying weather and road conditions.

• Must be able to sit for a significant portion of the workday.

• Occasionally able to lift up to 10 lbs.

🏝️ Benefits

• Eligible for benefits.

• Paid Time Off programs.

• Medical, dental, vision, life, and short- and long-term disability benefits.

• Flexible Spending Accounts for qualifying healthcare and dependent care expenses.

• Adoption assistance and paid parental leave.

• Defined contribution retirement plans with employer matching.

• Financial wellness programs.

• Educational Assistance Program.

• Premium pay, such as shift and on-call pay, depending on the role.

• Incentive pay available for select positions.

• Opportunity for annual performance-based salary increases.

• Competitive compensation.

• Career development programs.