Patient Financial Advisor - Full Time (11:30am-8:00pm)
About the Role
Under the general direction of the Patient Access Manager, and in accordance with The Joint Commission, federal, state, and local guidelines, organizational and departmental policies and procedures, the Patient Financial Advisor will provide financial planning assistance to non-emergent patients as well as perform registration for patients presenting for services. This role involves maintaining documentation, verifying insurance, accepting payments, educating patients on their insurance benefits and estimated liability, and collecting payments on the date of service. The Patient Financial Advisor will work with radiology and operating room schedules in advance to notify patients of estimated liability.
Employees will communicate with medical staff, other departments, and outside agencies while maintaining confidentiality. This position requires self-motivation, creativity, and the ability to function in a semi-autonomous role within a fast-paced and dynamic environment.
Responsibilities
- Performs registration for all patients presenting for service.
- Obtains, inputs, and transcribes accurate patient data.
- Completes necessary forms including proper documentation/signatures, insurance information, either on paper or electronically.
- Enters data into the computer with minimal errors.
- Performs as a cashier for payments and maintains cash receipts with accuracy.
- Notifies various departments that a patient needing their services has cleared registration.
- Notifies the Emergency Department that a patient has arrived and needs triage.
- Meets with patients to discuss financing options.
- Assesses insurance status, verifies insurance benefits, and calculates and collects appropriate estimated liability from patients on services rendered or to be rendered.
- Obtains payment of applicable co-payments, deductibles, and/or co-insurance according to health plans.
- Discusses with uninsured patients their financial obligations and referral options as per policy.
- Navigates through EHS software systems to obtain the patient’s financial responsibility.
- Explains the Helping Hands program option, if applicable.
- Works with ARx Outbound report to collect on accounts that were not collected on the date of service.
- Provides a courteous response to patient contact and answers questions on accounts or collections by patients regarding billing or amounts due.
- Responsible for calling scheduled surgery and radiology patients to advise them of their estimated patient liability before the date of service and noting accounts of patient intention to pay if not paid over the phone.
- Meets with patients presenting for outpatient services upon discharge to explain their insurance benefits and provide them with an estimate of liability for the service provided. Obtains payment or arrangement when applicable.
- Performs the census rounds daily and forwards it to the appropriate parties – Business Office, Centralized Scheduling, Patient Access Supervisor, and Patient Access Manager.
- Obtains accurate information from the patients and provides financial assistance information and paperwork when necessary.
- Works outpatient self-pay accounts for Centralized Scheduling before they schedule the procedure.
- Works crime victim accounts and notes those accounts accordingly.
- Maintains knowledge to answer any patient inquiry regarding their account/insurance.
- Scans all records into electronic medical records.
- Assists with switchboard duties as necessary/required.
- Provides Advance Directives and Organ/Tissue Donor information to all patients as per hospital policy/procedure.
- Acts as an ambassador for the facility by interacting with clients, family members, and staff in a friendly, caring, professional manner.
- Completes certifications with Hometown Health, as determined by management.
- Ensures adherence to proper infection control, OSHA, and safety standards.
- Provides support for other team members when needed and promotes a positive teamwork environment.
- Acts in compliance with established hospital policy and procedure, including code for releasing of information.
- Maintains all equipment in proper working order and complies with procedures for reporting repair of equipment.
- Maintains a neat, orderly work area.
- Performs other duties as assigned/needed/required within the scope of the job and training.
Requirements
- Minimum level of education: High School diploma or equivalent.
- Formal Training: Ability to add, subtract, multiply, and divide into all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
- Licensure, Certification, Registration: Required to obtain Hometown Health Certifications by the 90-day review and renew annually.
- Work Experience: Working knowledge of health insurance, deductibles, co-pays, and co-insurance required. Minimum of 12 months (1 year) experience in customer service, patient registration, and/or collections preferred.
- Position requires a comfort level with out-of-pocket collections activities, as well as a thorough understanding of the accuracy needed for capture of demographic and third-party payer information.
Tools and Equipment Used: Calculator, personal computer, telephone, facsimile machine, paper shredder, copier, printer.
Benefits
- Retirement plans: 403(b) and 457
- Health insurance
- Dental Insurance
- Vision insurance
- Prescription Drug Plan
- Hospital Discount
- Flexible spending account
- Paid time off
- Extended Days off (Sick time)
- Employee assistance program
- Strive365 Wellness Program
- Basic Life insurance (Employer Paid)
- Voluntary Life insurance/Accident/Critical Illness
- Disability (LTD and STD)
- Tuition reimbursement
- Legal and ID Shield
- Discounted Gym membership
- Cafeteria Payroll Deduction
- Employee Perks Program
- Student Loan Relief and Assistance
- Employee Rewards and Recognition Program
- Bereavement Leave
Schedule
Shift: Mid Shift