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FMOL Health · 6 hours ago

Patient Financial Advisor

Baton Rouge, LA

Full-time

Onsite

Entry Level

1+ years exp

Franciscan Missionaries of Our Lady Health System is seeking a Patient Financial Advisor to assist uninsured patients with Medicaid and financial assistance applications. The role involves managing the Medicaid eligibility process, collecting patient responsibilities, and providing support to patients and their families regarding funding options.

Health Care

Responsibilities

Screens uninsured patients for Medicaid and financial assistance

Assists patients in completing Medicaid and financial assistance applications

Manages the Medicaid eligibility/application process

Collects patient responsibility for unscheduled insured inpatients and observation patients

Utilizes critical thinking skills to determine the most appropriate resources available to assist patients in need

Educates, screens, and assists patients who do not have valid insurance coverage to enroll in third-party eligibility programs

Interviews qualified patients for potential funding sources, which may include Medicaid, financial assistance programs (FAP), and/or alternative funding sources

Performs all associated functions timely and accurately

Educates patient during interview on applicable policies such as point-of-service collection, payment options, and financial assistance

Performs follow up with patient and the Division of Medicaid to ensure appropriate completion of applications and submission of all required documentation

Stays informed on applicable statues, regulations, and Office of Compliance policies that affect assigned tasks

Submits Medicaid applications timely and accurately

Meets with patients who present as self-pay to obtain valid insurance coverage, if applicable, and/or review prior account information to obtain insurance coverage

Notifies departments of information and updates patient accounts

Consistently interacts with sensitivity to patients/their families and is responsive to individual needs

Exhibits excellent customer service and communications skills, with the ability to effectively calm patients and be able to deal with distressed and/or agitated patients and their families

Serves as support to patients and their family members to assure customers have access to all available funding

Analyzes patient financial condition based on interview and inputs into financial counseling system

Documents all calls, correspondence, and related activities to each patient's account in the correct place using appropriate tools and language

Updates patient accounting information systems

Responsible for calculating patient out-of-pocket amounts due and collecting on those amounts for unscheduled inpatient and observation admits having insurance coverage

Utilizes effective critical thinking skills and professional approach when handling these collections situations

Maintain complete records of all patients applying for indigent or financial assistance to include the application, proof of income, the acceptance/denial letter, and any other applicable documentation

Verifies and assures all accounts are ready for routing for approval for charity or billing with adequate supporting documentation within the established time frames

Demonstrates ability to work independently, be attentive to detail, and ensure work is completed timely and accurately

Works in self-directed manner and requires minimal supervision

Demonstrates ability to manage multiple and simultaneous responsibilities and to prioritize duties/tasks

Identifies trends that may indicate problem areas and alerts Supervisor/Manager/Director of such

Plays key role in initiating solutions

Work closely with Case Management (UR) on a daily basis in regard to notification of active Medicaid coverage, authorizations, and changes to Healthy Louisiana Plans

Obtains needed authorization and forwards to Utilization Management when received

Maintains daily contact with Utilization Management, Business Office, patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPOs, patients, patient families, physician offices and other outside entities

Actively participates in and encourages other to utilize creative and innovative approaches to accomplish tasks

Performs other duties as assigned

Qualification

Medicaid knowledgeFinancial assistance applicationsPatient account managementCustomer serviceAnalytical skillsCritical thinkingInterpersonal relationsAdvanced clerical skillsComputer skillsCommunication skills

Required

1 year of experience in financial services, insurance, or billing/patient accounts

Bachelor's Degree

Advanced clerical and computer skills judgment

Analytical skills and communication skills required to accomplish goals in settings that are often sensitive

Familiarity with a variety of funding sources and eligibility

Thorough understanding of hospital billing

Company

FMOL Health

FMOL Health is a bold, connected health system that delivers care that prioritizes people – every patient, every community, every time – while honoring the unique character of each market we serve.

Founded in 1984

Baton Rouge, Louisiana, USA

10001+ employees