Patient Advocate Rep - Saint Francis Hospital

Job Summary

Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Identifies all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment. Obtains and completes the Confidential Financial Statement form and assists patients in applying for benefits.

Essential Duties and Responsibilities

• Conducts interviews with patients and/or family members.
• Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.
• Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
• Follows up on EES assigned accounts to ensure follow-through on Government application submission. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
• Conducts field visits to patient homes for skip tracing and or assisting patient with documents.
• Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.

Knowledge, Skills, Abilities

• Familiarity with rules and regulations pertaining to Federal, State and County programs.
• P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs.
• Independent work capability.
• Excellent oral and written communication skills, clear understanding of the English language.
• Detail-oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms.
• Ability to prioritize and manage multiple tasks with efficiency.
• Bilingual preferred (Spanish).

Education / Experience

• High School diploma or equivalent.
• Minimum 2 years work experience with Social Services or Hospital Admitting or related area.

Physical Demands

• Ability to sit and work at a computer terminal for extended periods of time.
• Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside.
• Ability to travel if required.

Work Environment

• Both Hospital and Office facilities, in direct contact with Patients and Staff.

Other

• Some travel may be required.