Patient Financial Advocate I | Revenue Cycle

Job Summary

The Patient Financial Advocate I is responsible for serving as the point of contact for all functions and workflows within Revenue Cycle Pre-Arrival financial management. This caregiver assists patients and families with the navigation of the patient financial journey through various tasks such as creating price estimates, counseling on insurance coverage and benefits, arranging payment plans, assessing referrals for care, handling billing issues with third-party payers, and assisting with determining eligibility for resources to manage out-of-pocket responsibilities.

Essential Functions

• Completes workflows of Pre-Arrival patient financial management functions within Revenue Cycle, including Financial Clearance, Patient Admission and Registration Support, Financial Counseling, and Customer Service.
• Ensures timely and accurate completion of financial clearance process per policy and standard work processes and guidelines.
• Communicates with patients and families across the organization to identify and understand financial, social, and medical requisites necessary to facilitate financial management functions and workflows.
• Gathers relevant information to process and complete financial assistance requests, verifies completeness of new patient forms, maintains accurate documentation of account transactions and conversations.
• Works collaboratively with patients, internal and external customers of Monument Health to identify long-term resources for funding healthcare-related services and promptly complete and approve applications.
• Counsels patients on out-of-pocket liabilities, creates accurate cost of care price estimations, collects patient financial liability, establishes payment arrangements, communicates financial clearance status, and ensures appropriate reimbursement of services and supplies billed to third parties and payment from patients.
• Demonstrates follow-up processes to ensure prompt, appropriate reimbursement and payment of services and supplies due from patients.
• Recognizes accounts that are repeatedly delinquent or otherwise in non-compliance with payment terms and recommends further collection activity, including legal action, as evidenced by documentation, observation, and feedback.
• Practices safe and secure cash handling according to Monument Health policy and standard practice guidelines.
• Demonstrates understanding of core business structures, systems, best practices, trends, and technologies within the industry.
• Communicates pertinent information regarding financial clearance processes and reimbursement activities with all Monument Health internal and external customers to promote a positive work environment.

Required Additional Requirements

• Education: High School Diploma/GED Equivalent in General Studies
• Experience: 1+ years of Healthcare Administration or Operations Experience; 1+ years Billing/Collections Experience