Financial Advocate - Onsite

Job Summary

Advocate Health is seeking a Financial Advocate to join our team in Mt. Pleasant, WI. The ideal candidate will have 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting.

About the Role

As a Financial Advocate, you will play a crucial role in helping patients understand and manage their healthcare costs. Your responsibilities include:

• Calculating and providing patients with personalized estimates of their financial responsibility based on their insurance coverage.
• Communicating patient liability clearly and accurately, explaining concepts such as deductibles, coinsurance, and copayments.
• Interviewing uninsured patients to assess for qualifying financial needs and coordinating with them to complete paperwork and applications for potential coverage.
• Initiating credit scoring to determine eligibility for Medicaid, hospital-sponsored charity care, and other programs.
• Working with state social workers and outside eligibility vendors to assist with Medicaid applications.
• Educating physicians and patients on the organization’s policies and coordinating scheduling options based on funding needs.
• Staying current on regulations and eligibility requirements for government funding, particularly Medicare and Medicaid.
• Collaborating with peers to serve uninsured patients or those concerned about costs for upcoming services.

Responsibilities

• Calculate and provide patients with personalized estimates of their financial responsibility based on their insurance coverage.
• Communicate patient liability clearly and accurately, explaining concepts such as deductibles, coinsurance, and copayments.
• Interview uninsured patients to assess for qualifying financial needs and coordinate with them to complete paperwork and applications for potential coverage.
• Initiate credit scoring to determine eligibility for Medicaid, hospital-sponsored charity care, and other programs.
• Work with state social workers and outside eligibility vendors to assist with Medicaid applications.
• Educate physicians and patients on the organization’s policies and coordinate scheduling options based on funding needs.
• Stay current on regulations and eligibility requirements for government funding, particularly Medicare and Medicaid.
• Collaborate with peers to serve uninsured patients or those concerned about costs for upcoming services.

Requirements

To succeed in this role, you should have:

• A high school diploma or equivalent.
• Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting.
• Ability to communicate clearly and proactively about issues involving customer service and process improvement opportunities.
• Basic medical coding knowledge.
• Understanding of insurances, billing, and denials.
• Ability to document in patients' accounts using a combination of scripted notes and clear, written communication.
• Ability to work in a fast-paced, customer-focused environment.
• Ability to work independently and as part of a team.

Qualifications

To qualify for this position, you should:

• Have a high school diploma or equivalent.
• Have 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting.
• Have basic medical coding knowledge.
• Be able to communicate clearly and proactively about issues involving customer service and process improvement opportunities.
• Have a solid understanding of how various types of insurances operate related to denials and appeals processes.
• Be able to use a combination of scripted notes and clear, written communication when documenting in patients' accounts.
• Be able to work independently and as part of a team.

Skills

The successful candidate will possess the following skills:

• Strong communication skills, both verbal and written.
• Ability to explain complex financial concepts to patients in a clear and understandable manner.
• Knowledge of insurance benefits, insurance companies, and Marketplace insurance options.
• Basic medical coding knowledge.
• Understanding of insurances, billing, and denials.
• Ability to use a combination of scripted notes and clear, written communication when documenting in patients' accounts.

Benefits

Advocate Health offers a comprehensive suite of Total Rewards, including:

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Pay

The base compensation for this position is within the pay range of $22.90 – $34.35, based on factors such as qualifications, skills, relevant experience, and/or training. Premium pay such as shift, on-call, and more is also provided based on a teammate's job. Incentive pay for select positions is also available, and there is the opportunity for annual increases based on performance.

Schedule

This position is located at Mt. Pleasant Hospital and works an onsite schedule of M-F 8-430.