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Penn Medicine, University of Pennsylvania Health System · 20 hours ago

Patient Financial Advocate I

Philadelphia, PA

Full-time

Onsite

Mid, Senior Level

4+ years exp

Penn Medicine is a leading academic medical center dedicated to providing high-quality care, conducting innovative research, and educating future leaders in medicine. The Patient Financial Advocate I assists patients, particularly those who are underinsured or uninsured, by providing financial guidance and support to determine eligibility for various assistance programs and ensuring a positive patient experience throughout the care continuum.

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Responsibilities

Access system work queues and calendar multiples times throughout day to obtain referred cases/patients that require assistance Answers and resolves patient/guarantor inquiries (verbal and written) via telephone, in person (in-house and walk-ins) or e-mail

Prior to service will conducts detailed discussion with patients, obtains insurance information and completes required tasks to determine patient’s eligibility for Medicaid and other state, federal and local government programs

Meets with patients on a one-on-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

Assist patients in completing all applications required to receive external eligibility and internal financial assistance prior to service

Follows up with potential sources of aid until determination of approval or a denial is received, applications include but not limited to Federal Funded Applications, State Medicaid Applications, Financial Assistance applications, Co-Pay Assistance Program applications, etc

Work with patient to obtain documentation necessary for applications

Uses patient information and hospital guidelines to calculate the amount of financial assistance patients ultimately receive

Calculate patient’s remaining balances and then discusses and finalizes the method of resolving patient balances through point of service collections, payment plans or other arrangements, to be determined by date of service

Request payments from patients at point of service, including during the pre-admission stage, at admission and after service but prior to patient discharge

Prior to service will calculate and estimate patient’s charges, request payments from patients at point of service, review remaining balances, and discusses and finalizes the method of resolving patient balances through point of service collections, payment plans or other arrangements, to be determined by date of service

Facilitates financial communications between Patient Access Services, Physicians, and Hospital Departments when necessary and collaborates with Social Workers and Clinical Resource managers when needed

Acts as financial intermediaries for patients and departments in order to provide the best solution for the patient while also securing the financial integrity of the organization

The Patient Financial Advocate team are responsible for obtaining program award amounts of over $3.5M annually

The Patient Financial Advocate team are responsible for maintaining an average 76.6% collection rate from Patient Assistance Programs

Qualification

Hospital Revenue Cycle ExperienceFinancial Assistance ProgramsPatient Eligibility DeterminationCustomer ServiceCommunication Skills

Required

Associate of Arts or Science (Required) and 4+ years Hospital Revenue Cycle Experience Education Specialization: Health related field

Bachelor of Arts or Science (Required) and 2+ years Hospital Revenue Cycle Experience Education Specialization: Health related field

H.S. Diploma/GED (Required) and 6+ years Hospital Revenue Cycle Experience Education Specialization:

Benefits

Competitive Benefits

Career Growth Opportunities

Tuition Assistance at University of Pennsylvania

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees