PATIENT FINANCIAL ADVOCATE

Patient Financial Advocate

The Patient Financial Advocate is responsible for assisting patients and/or families to access financial resources. The Advocate assists and provides guidance to those patients who may qualify for assistance through state, county, and federal programs. The Advocate will also be responsible for revenue cycle processes including functions related to obtaining prior authorization, follow up, and benefit verification. Additionally, the Advocate will be available to patients and families to answer questions regarding their insurance and give estimates of co-pay amounts.

Minimum Level of Education Required: High School completion / GED

• Preferred educational qualifications: Medical terminology, medical billing, and/or CPT/ICD coding knowledge. Associate Degree in related field preferred.

• Position specific testing requirement: Preferred Windows-based computer typing 25wpm

Minimum Level of Experience Required: 3 - 5 years of job related experience

Preferred experience: Prior hospital experience, insurance/claims processing, patient financial need assessment eligibility and prior authorization process preferred. Worked with Epic previously.

Other experience requirements: Overall knowledge of patient registration, third party collections, prior authorization, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is preferred. 3-5 years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in healthcare/medical setting or financial institution setting with oversight of functions such as processes credit applications; verify credit references and information; determines lines of credit. Prepares reports on the status of credit and collections, and other operating statements are required. Must possess good math skills and pass a skills test with includes calculating co-pays and deductibles.