Patient Advocate Representative

Work Location and Schedule

Shelby Medical Center; Monday–Friday, 9:00 am–5:30 pm with rotating weekends.

About the role

Responsible for screening self-pay patients at hospital bedside for eligibility in governmental and non-governmental programs. Identifies all potential payor sources (auto insurance, Workers’ Compensation, commercial insurance, private insurance, TPL, etc.) to route accounts appropriately within Patient Accounting. Completes the Confidential Financial Statement form and assists patients in applying for applicable benefits.

Responsibilities

• Conduct interviews with patients and/or family members.
• Record and maintain complete documentation of activities performed on each account while in-house and throughout the Patient Accounting cycle.
• Perform financial clearance functions including collections; cancel accounts lacking patient cooperation that are ineligible for programs; prepare accounts for Financial Assistance review.
• Follow up on EES-assigned accounts to ensure completion of government program applications.
• Develop working relationships with patients to expedite processing and determine government program eligibility.
• Conduct field visits to patient homes for skip tracing or assisting with required documents.
• Notify hospital case management, social services, and admissions staff of screening determinations and outcomes via verbal and written communication.

Knowledge, Skills, and Abilities

• Working familiarity with rules and regulations pertaining to Federal, State, and County programs.
• P/C systems literate, including Windows and Microsoft Outlook, Excel, and Word.
• Ability to work independently.
• Excellent oral and written communication skills and clear understanding of the English language.
• Detail-oriented with strengths in managing multiple facilities, supervisors, and hospital platforms.
• Ability to prioritize and manage multiple tasks efficiently.
• Bilingual preferred (Spanish).

Education and Experience

• High school diploma or equivalent.
• Minimum 2 years of work experience in Social Services, Hospital Admitting, or a related area.

Physical Demands

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

Work Environment

• Hospital and office facilities, in direct contact with patients and staff.
• Some travel may be required.