Patient Advocate

Responsibilities

• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system in an accurate manner.
• Performs insurance verification process on all third-party payers.
• Obtains initial and subsequent pre-authorization for services and surgeries.
• Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.
• Ensures appropriate signatures are obtained on all necessary forms.
• Utilizes the Summary of Patient Reimbursement and Liability form and obtains appropriate approvals as required.
• Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices, and establishing payment arrangements.
• Documents financial counseling process and forwards to Billing Office.
• Aids patients in obtaining financial assistance (i.e., Medicaid, drug replacement), outside assistance (i.e., transportation or other community services), and fills out all appropriate forms.
• Collects co-pays, deductibles, and other out-of-pocket amounts at the time of visit.
• Assists in maintaining manuals, logs, and other required documentation as required.
• Demonstrates an understanding for patient confidentiality to protect the patient and the clinic/corporation.
• Follows policies and procedures to contribute to the efficiency of the front office.
• Covers for and assists with other front office functions as requested.

Qualifications

• High School diploma or equivalent required.
• Some college preferred.
• At least three (3) years of medical business experience with Insurance procedures and patient interaction.
• Must demonstrate the ability to verbally articulate information and questions with others in order to perform responsibilities effectively.
• Must be personable.
• Proficiency with computer systems, medical billing systems, and Microsoft Office Outlook & Word, required.