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Monument Health · 1 month ago

Patient Financial Advocate I | Revenue Cycle

Rapid City, SD

Full-time

Onsite

Entry Level

$18.62/hr - $21.40/hr

1+ years exp

Monument Health is a healthcare provider dedicated to improving patient financial experiences. The Patient Financial Advocate I serves as a point of contact for all workflows within Revenue Cycle Pre-Arrival financial management, assisting patients with insurance coverage, payment plans, and financial counseling.

Health CareHospitalNon ProfitRehabilitation

Responsibilities

Performs and completes the workflows of Pre-Arrival patient financial management functions within Revenue Cycle which may include but are not limited to: Financial Clearance (Pre-Registration, Pre-Arrival Insurance Benefit Management, and Authorization/Referral/Benefit Review); Patient Admission and Registration Support (Inpatient, Outpatient, ED Registration, Insurance verification); Financial Counseling (Price Estimations, Payment Planning and Arrangement, Fund Finding and Resource eligibility, Charity Care Review); Customer Service (Patient collections, Customer service follow-up, Third Party Insurance Follow up, Patient balance resolution)

Ensures the Pre-Arrival patient financial management and related financial clearance process is completed timely and accurately per policy and standard work processes and guidelines

Communicate in person and over the phone with all Monument Health patients and families across the organization despite service or specialty need to identify and understand financial, social, and medical requisites necessary to facilitate the Pre-Arrival patient financial management functions and workflows

Gather all relevant information required to process and timely complete financial assistance requests, verifies that all new patient forms are complete and signed, maintains complete and accurate documentation of account transactions and conversations

Works collaboratively with patient and internal and external customers of Monument Health to identify long term resources for funding of healthcare related services in getting applications promptly completed and approved

Counsels patients on all out of pocket liabilities including pre and post service balances

Creates accurate cost of care price estimations and distributes timely according to regulatory requirements and Monument Health policy and standard work expectations

Calculates and collects patient financial liability including preservice deposits, co-payments, coinsurance, and deductible

Establishes appropriate payment arrangements before and at the time of visit. Accepts payment and generates receipts

Communicates financial clearance status and applicable financial decisions with all appropriate parties including the patient, family, referring clinicians, Monument Health clinicians, and appropriate operational leadership

Demonstrates application of follow up processes necessary to ensure prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients

Ensures quality services in self-pay collections is given in accordance to applicable policies, procedures and guidelines. Recognizes accounts that are repeatedly delinquent or otherwise in the absence of acceptable payment terms and regularly recommends placement of account for further collection activity, including legal action, as evidenced by documentation, observation and feedback

Practices safe and secure cash handling practices per Monument Health policy and standard practice guidelines assuring all physical safeguards and other internal controls are maintained

Demonstrates a clear understanding of core business structures, systems, best practices, trends, and technologies within the industry

Understands system and business practice concepts and work approaches used to systematically pursue ever-higher levels of performance. Understands or demonstrates understanding of strategic planning, research, and development and analysis processes Further understands or demonstrates understanding that high-performance work approaches are necessary to align the organization's efforts, as evidenced by improved customer relations' focus, quality initiatives, financial performance, and operational performance

Communicates effectively the pertinent information regarding the financial clearance processes and reimbursement activities with all Monument Health internal and external customers to promote a positive work environment

Actively participates in seeking and developing other educational and skillset opportunities to assist with ongoing personal growth and development and career goals

All other duties as assigned