Patient Financial Advocate

Intermountain Health St Vincent Regional Hospital

Full time

R179296

Job Description:

A Patient Financial Advocate is responsible for providing financial counseling to uninsured/ underinsured patients, by determining medical assistance eligibility for patients in clinic, hospital outpatient/inpatient, emergency settings, and in a call center environment. Patient Financial Advocates assist patients with submitting and/or processing documentation to complete applications for various medical assistance programs, such as: State/ Federal public benefits, ACA insurance availability, and internal/ external financial assistance programs. A Patient Financial Advocate will provide general insurance education, provide price quotes to potential patients, and assist with payments and payment arrangements.

Essential Functions

• Provides financial counseling and assistance to patients and their families, explaining their insurance coverage, benefits, and out-of-pocket costs.

• Identifies and facilitates the application of financial assistance programs, such as Medicaid, charity care, or payment plans, for eligible patients.

• Completes and submits appropriate applications to Department of Human Services or MA Site as applicable. Follows up through determination.

• Obtains and verifies insurance information, authorizations, and referrals for scheduled and unscheduled services.

• Reviews and updates patient accounts, ensuring accuracy and completeness of demographic and financial information.

• Follows up with patients, providers, and insurance companies to resolve billing issues and disputes.

• Educates patients on their financial obligations and rights and provide information on billing policies and procedures.

• Documents all financial counseling and assistance activities in the electronic health record system.

• Collaborates with other departments and teams to ensure a positive and seamless patient experience.

Skills

• Healthcare Insurance

• Billing

• Financial Counseling

• Insurance Verification

• Detail Oriented

• Compassion

• Customer Service

• HIPAA

• Electronic Health Record

• Affordable Care Act

Qualifications

Required

• Demonstrated experience in healthcare revenue cycle, patient access or other customer service role.

• Demonstrates knowledge of the Affordable Care Act, Insurance billing, medical terminology, and reimbursement practices.

• Demonstrated proficiency in interpreting insurance Explanation of Benefits.

• Demonstrated proficiency in computer skills including Microsoft Office applications, electronic health record systems, internet and email

• Demonstrates excellent communication, interpersonal, and problem-solving skills.

• Ability to work independently and collaboratively in a fast-paced and dynamic environment.

• Ability to maintain confidentiality and comply with HIPAA and other regulations.

• Ability to demonstrate compassion, empathy, and respect for patients and their families.

Preferred

• High School Diploma or GED.

• Experience in financial counseling, insurance verification, or collections.

• Experience with Epic

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.

• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.

• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.

• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles

Location:

Intermountain Health St Vincent Regional Hospital

Work City:

Billings

Work State:

Montana

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$19.41 - $28.14

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here ( .

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400+ clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

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Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

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