Financial Advocate

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

📋 Description

• Calculates and provides personalized financial responsibility estimates for patients based on their insurance coverage before receiving services.

• Clearly and accurately communicates patient liability while thoroughly explaining concepts such as deductibles, coinsurance, and copayments, and their impact on care costs.

• Describes how non-covered and out-of-network services contribute to the overall out-of-pocket expenses.

• Requests upfront payments for self-pay amounts, including estimated out-of-pocket costs and any outstanding previous balances.

• Sets up payment arrangements prior to scheduled services when relevant, detailing due dates and the amount due for each installment.

• Conducts interviews with uninsured patients to evaluate their financial needs for potential qualification.

• Identifies available assistance programs and collaborates with patients to complete necessary paperwork and applications for any possible coverage.

• Continues to follow up to secure funding sources for the patient's healthcare services.

• Initiates credit scoring to assess each patient’s eligibility for Medicaid, hospital-sponsored charity care, and other programs through a detailed patient interview.

• Works alongside state social workers and/or external eligibility vendors to ensure accurate Medicaid application completion, maximizing funding based on patient eligibility.

• Remains informed about regulations and eligibility criteria for government funding, particularly Medicare and Medicaid.

• Collaborates with colleagues to streamline operations for uninsured patients or those concerned about costs for upcoming services.

⛳️ Requirements

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

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

• Strong understanding of various insurance types, particularly regarding denials and appeals processes.

• Basic knowledge of medical coding.

• Familiarity with insurance policies, billing, and denial processes.

• Ability to utilize a mix of scripted notes and clear written communication for documenting in patient accounts.

🏝️ Benefits

• Paid Time Off programs.

• Health and welfare benefits including medical, dental, vision, life insurance, and both Short- and Long-Term Disability coverage.

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

• Family benefits such as adoption assistance and paid parental leave.

• Defined contribution retirement plans with employer matching and various financial wellness programs.

• Educational Assistance Program.