Patient and Family Financial Advocate

Facility: Dayton Children's – Main Campus | Department: Patient Access – Pre-Registration/Prior Authorization | Schedule: Full time, 40 hours/week

About the role

Under the direction of the Pre-Service Operations Manager, the Patient and Family Financial Advocate is responsible for providing patients with an exceptional financial experience by assisting patients navigate and understand insurance benefits and potential financial liability. Financial Advocates identify patients who may be eligible for financial and social assistance from various public agencies by assessing their financial and social situations, acting as liaison between the patient and the public agencies and documenting the assessment and outcome. Financial Advocate staff ensure that all data entry is accurate including demographic and financial information for each account to guarantee the successful financial outcome of all patient services. Must demonstrate understanding of regulatory and third-party payer guidelines for outpatient and inpatient services while being familiar with managed care, Medicare and Medicaid rules regarding billing, coverage and reimbursement rules.

Responsibilities

• Assist patients in navigating and understanding insurance benefits and potential financial liability
• Identify patients eligible for financial and social assistance from public agencies
• Assess patients' financial and social situations
• Act as liaison between patients and public agencies
• Document assessments and outcomes
• Ensure accurate data entry of demographic and financial information for each account
• Guarantee successful financial outcome of all patient services
• Apply understanding of regulatory and third-party payer guidelines for outpatient and inpatient services
• Apply knowledge of managed care, Medicare, and Medicaid rules regarding billing, coverage, and reimbursement

Schedule

• Monday–Friday, 8:00 am – 5:00 pm
• Every 4th weekend rotation

Education

• High School Diploma or GED required
• Associate’s degree preferred
• Financial Advocate orientation modules completed within six (6) months of hire required

Experience

• Minimum of one (1) year of experience in patient access, patient accounts, customer service, or a large hospital/medical front office required
• Two (2) or more years of experience preferred

Required Qualifications

• Proficient in customer service and data collection processes
• Strong analytical and problem-solving abilities
• Demonstrated ability to support, motivate, and collaborate with a team
• Solid understanding of healthcare billing regulations, insurance processes, and compliance requirements
• Excellent organizational and time-management skills

Preferred Qualifications

• Medical Terminology
• EPIC