Patient Financial Advocate I

Patient Financial Advocate I

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Revenue Cycle (Patient Financial Services)

• The Patient Financial Advocate I serves to assist all Penn Medicine patients prior to, during, or after receiving treatment, especially those who are underinsured or uninsured. The Patient Financial Advocate I provides basic financial guidance and support to patients, with a focus on determining patient eligibility including, but not limited to: Medical Assistance, Financial Assistance, Pharmacy Assistance, Premium Assistance Programs, etc.
• The Patient Financial Advocate I maintains professionalism to ensure a positive patient experience across the care continuum. This position requires a high-level understanding of Revenue Cycle operations and the ability to facilitate patient collections.

Responsibilities:

• Serve as the point of contact for all financial questions related to the patient's healthcare at Penn Medicine.
• Communicate with patients to identify and understand financial, social, and medical histories and other relevant patient information.
• Gather all relevant information required to process Financial Assistance and Medical Assistance applications; including but not limited to working with providers on treatment plans, best practices, and related necessary medical opinions. Document all communication and follow up in Epic.
• Assess the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients benefit coverage and hospital reimbursement.
• Creates patient estimates and meets with patients on a one-to-one basis to discuss the cost of hospital services and current financial situations, obtaining all pertinent demographic information and financial data to ensure resolution of account. Performs cash collections on estimates created.
• Determine the patient's financial ability to pay and explain insurance coverage and benefits to the patient.
• Evaluate eligibility as appropriate for assistance programs. Assist the patient in completing financial statements and gathering supporting financial documentation.
• Facilitates financial communications between Patient Access Services, Physicians, and Hospital Departments when necessary and collaborates with Social Workers and Clinical Resource Managers when unresolved financial issues require a delay in treatment.
• Contributes to the achievement of established department and Corporate Revenue Cycle goals and objectives, and adheres to department policies, procedures, quality, and safety standards.

Education or Equivalent Experience:

• Bachelor's Degree Health-related field and 2+ years Hospital Revenue Cycle and/or Customer Service Experience (required)
• OR Associate's degree Health-related field and 4+ years Hospital Revenue Cycle and/or Customer Service Experience (required)
• OR H.S. Diploma/GED And 6+ years Hospital Revenue Cycle and/or Customer Service Experience (required)

Credentials:

• AAHAM Revenue Cycle Certification or ability to obtain Certification within one year of hire (required)
• Certificate of Completion from ACCC Financial Advocacy Network Program, or ability to obtain within one year of hire (required)

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives. Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.