PATIENT FINANCIAL ADVOCATE
for headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must not repeat job title as heading. We need to extract substantive info. Job description includes: Job Title: Patient Financial Advocate (but we don't repeat). Job Code, Hours, FTE, Weekend Hours, Holiday Hours, FLSA Status, Department, Location. Those are metadata; we can fold into a short
or drop. Probably include a short
with that metadata. Job Summary: description of role. That's "About the role" maybe. Use
About the role
thenwith summary. Responsibilities: list of duties: counseling patients, explaining financial responsibilities, payment options, collection procedures, counseling regarding insurance benefits, recommending alternative sources, managing financial assistance application and control processes, contacting insurance carriers, advocating for patient, initiating processes for collecting prepay due, follow-up, identifying and resolving issues related to registration, financial clearance, insurance authorization, billing, explanation of benefits, provider-based billing, governmental requirements, financial assistance policies, updating and documenting in computer systems, other duties as assigned, maintaining confidentiality, complying with policies. We can put those in
- . Requirements: Education: Associate's degree preferred, HS diploma required. Experience/Skill Sets: excellent customer service, interpersonal, communication skills; 2 years previous experience in healthcare, social org, or similar preferred; previous experience in collection or related experience with bank, finance, medical insurance preferred; experience processing medical insurance claims helpful; competency in modern office software; detailed understanding of BMH hospital and medical group financial assistance policies and related systems. Licensure/Certification: Must pass FBI criminal background checks; VT Health Connect Certified Application Counselor (HCCAC) status and CMS Certified Application Counselor (for NH populations) status; acceptable if achieved within 180 days of employment. OSHA Category I etc. Physical demands: list. Those could be under Requirements or Qualifications? The instruction: Use headings for sections like Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We have Requirements (education, experience). Could also have Qualifications (licensure/certification). Skills (customer service, communication, software). Could combine. We need to avoid filler like "N/A". We have Weekend Hours: N/A, Holiday Hours: N/A - we should drop those as minor metadata. Pay and Schedule: Not provided (no pay, schedule beyond hours Monday-Friday 8-4:30). Schedule is given: Hours: Monday - Friday 8:00 AM - 4:30 PM. That's schedule info. So we can create a Schedule section with that. Pay: not provided, so omit. Benefits: not provided, omit. Thus sections: About the role, Responsibilities, Requirements (education/experience), Qualifications (licensure/certification, OSHA, physical demands?), Skills (customer service, communication, software, understanding policies). Could combine some. We need to preserve all substantive info. Let's decide: - About the role: job summary paragraph. - Responsibilities: bullet list of duties. - Requirements: Education and Experience/Skill Sets (maybe combine education and experience). Could also include "Experience processing medical insurance claims is helpful." etc. - Qualifications: Licensure/Certification, OSHA Category, Physical demands. - Skills: maybe "Excellent customer service, interpersonal and communication skills; competency in modern office software applications; detailed understanding of BMH hospital and medical group financial assistance policies and related systems." But some of that overlaps with Requirements. Might be better to have Requirements cover education/experience, Qualifications cover licensure/certification, OSHA, physical demands, and Skills cover customer service, communication, software, understanding policies. We must not repeat info. Let's extract each piece. From text: Job Summary paragraph: "The Patient Financial Advocate provides financial counseling services and assistance in obtaining insurance coverage to patients Of Brattleboro Memorial Hospital. Under the supervision of the Director of Revenue Cycle, the Patient Financial Advocate will counsel our patients and/or parties responsible for payment regarding payment responsibilities and options. The Patient Financial Advocate explains financial responsibilities for services received, as well as payment options and collection procedures to patients and/or parties responsible for payment. They will counsel patients regarding insurance benefits and will recommend alterative sources of payment. Manages the financial assistance application and control processes. Contacts insurance carriers or other sources and acts as an advocate for the patient. Initiates processes for collecting prepay due and performs follow- up to ensure maximum collection is achieved. The Patient Financial Advocate identifies and resolves issues related to registration, financial clearance, insurance company authorization requirements, billing, insurance company explanation Of benefits, provider- based billing, governmental requirements, financial assistance policies and restrictions. They will update and correctly document in the appropriate computer systems as well as other duties as assigned. The Objective Of this position is to ensure the highest level Of access to care for patients in the community through the effective and efficient promulgation Of BMH policies and procedures. This position will maintain absolute confidentiality Of all referred patients' records, medical treatment, and diagnoses, and comply with all policies and procedures Of Brattleboro Memorial Hospital." That's a lot; could be split into About the role (summary) and Responsibilities (duties). But we can treat the first sentences as About the role, and then list responsibilities. Better: About the role: brief overview: provides financial counseling, assists with insurance coverage, counsels patients on payment responsibilities, explains financial responsibilities, payment options, collection procedures, counsels on insurance benefits, recommends alternative sources, manages financial assistance application, contacts insurance carriers, advocates for patient, initiates prepay collection, follow-up, identifies/resolves issues related to registration, financial clearance, insurance authorization, billing, explanation of benefits, provider-based billing, governmental requirements, financial assistance policies, updates documentation, maintains confidentiality, complies with policies. Responsibilities: maybe more specific bullet list: counsel patients, explain financial responsibilities, payment options, collection procedures, counsel on insurance benefits, recommend alternative sources, manage financial assistance application, contact insurance carriers, act as patient advocate, initiate prepay collection processes, perform follow-up, identify and resolve registration/financial clearance/insurance authorization/billing/explanation of benefits/provider-based billing/governmental requirements/financial assistance policies issues, update documentation, other duties as assigned, maintain confidentiality, comply with policies. But that duplicates. We can keep About the role as a short paragraph summarizing the role, and Responsibilities as bullet list of duties. Let's craft: About the role: "The Patient Financial Advocate provides financial counseling and insurance coverage assistance to patients of Brattleboro Memorial Hospital, counseling patients on payment responsibilities, explaining financial responsibilities, payment options, and collection procedures, advising on insurance benefits, recommending alternative payment sources, managing financial assistance applications, contacting insurers, advocating for patients, initiating prepay collection, performing follow‑up, resolving registration, financial clearance, insurance authorization, billing, explanation of benefits, provider‑based billing, governmental, and financial assistance policy issues, updating documentation, and maintaining confidentiality while complying with hospital policies." Responsibilities bullet list: maybe break down each duty. But we must not invent or summarize away detail; we need to preserve ALL substantive information. So we need to include each piece of info from the job summary. If we create a short paragraph, we might be summarizing and potentially losing some nuance. However the instruction says "Preserve ALL substantive information; do NOT invent or summarize away detail." That suggests we should not omit details; we can rephrase but must keep all details. Summarizing may be okay if we keep all details but not omit any. It's tricky. Better to keep the job summary as a paragraph under About the role, preserving all sentences (maybe slightly rephrased but not omitting). Then Responsibilities could be a bullet list that extracts specific duties from the summary, but that would duplicate info. However duplication may be okay as long as we don't lose info. But we might be repeating same content in two places, which is okay but maybe not ideal. However we could avoid duplication by putting the full summary in About the role and not having a separate Responsibilities section; but we need to include Responsibilities if there is content. The posting has responsibilities described; we could put them under Responsibilities as bullet list, and About the role could be a brief overview (maybe just the first sentence). But then we might lose some details if we only put brief overview. To preserve all detail, we could put the full description under Responsibilities as bullet list, and About the role could be a short summary that doesn't omit any detail? That would still omit details from About the role but they'd be present elsewhere. That's acceptable because all substantive info appears somewhere. Thus we can put About the role: a brief overview (maybe one sentence) and Responsibilities: bullet list covering all duties. Ensure we don't omit any duty. Let's extract duties from the summary: - Provides financial counseling services and assistance in obtaining insurance coverage to patients of Brattleboro Memorial Hospital. - Counsels patients and/or parties responsible for payment regarding payment responsibilities and options. - Explains financial responsibilities for services received, as well as payment options and collection procedures to patients and/or parties responsible for payment. - Counsels patients regarding insurance benefits and will recommend alternative sources of payment. - Manages the financial assistance application and control processes. - Contacts insurance carriers or other sources and acts as an advocate for the patient. - Initiates processes for collecting prepay due and performs follow‑up to ensure maximum collection is achieved. - Identifies and resolves issues related to registration, financial clearance, insurance company authorization requirements, billing, insurance company explanation of benefits, provider‑based billing, governmental requirements, financial assistance policies and restrictions. - Updates and correctly documents in the appropriate computer systems. - Other duties as assigned. - Maintains absolute confidentiality of all referred patients' records, medical treatment, and diagnoses. - Complies with all policies and procedures of Brattleboro Memorial Hospital. That's all. Now Requirements: Education: Associate's degree preferred. High School Diploma or equivalent required. Experience/Skill Sets: Must possess excellent customer service, interpersonal and communication skills. 2 years previous experience in a healthcare, social organization, or similar organization preferred. Previous experience in collection or other related experience with a bank, finance company or medical insurance institution preferred. Experience processing medical insurance claims is helpful. Competency in modern office software applications, and a detailed understanding of BMH hospital and medical group financial assistance policies and related systems. Licensure/Certification: Must pass FBI criminal background checks. VT Health Connect Certified Application Counselor (HCCAC) status and CMS Certified Application Counselor (for New Hampshire populations) status. Acceptable if achieved within 180 days of employment. OSHA Category: OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of universal Precautions as evidenced with blood borne pathogens standards. Physical Demands: list. We could put Education/Experience under Requirements. Licensure/Certification under Qualifications. OSHA and Physical Demands maybe also under Qualifications or a separate section like "Qualifications". Since we have headings for Qualifications, we can put licensure, certification, OSHA, physical demands there. Skills: maybe we can put customer service, communication, software, understanding policies under Skills. But we already have some of those in Requirements. To avoid duplication, we could put only the soft skills and technical skills under Skills, and keep education/experience under Requirements. However the instruction says "Prefer a few substantive sections over many thin ones." So maybe we combine education/experience/skills into Requirements, and licensure/certification/OSHA/physical into Qualifications. That yields two substantive sections. Let's do: - About the role (short overview) - Responsibilities (bullet list) - Requirements (education, experience, skills, software, understanding policies) - Qualifications (licensure/certification, OSHA category, physical demands) - Schedule (hours Monday-Friday 8:00 AM - 4:30 PM) We should not include Pay/Benefits as not provided. Now we need to ensure we don't include filler like "N/A". We have Weekend Hours: N/A, Holiday Hours: N/A -