Boys Town · 8 hours ago
Financial Service Advocate
Omaha, NE
Full-time
Onsite
Senior Level
5+ years expBoys Town is a national child and family care organization that has been serving communities since 1917. They are seeking a Financial Service Advocate to assist patients and families in understanding their financial obligations and exploring financial assistance options before, during, and after care delivery.
ConsultingHealth CareMedicalMental Health
Responsibilities
Assists patients and/or guardians in determining an estimate for cost of services to be rendered by conducting a financial screening and anticipates out of pocket liability including: co-payments, coinsurance, deductible, and non-covered or self-pay service charges prior to their visit or rendering of service by utilizing resources which may include but are not limited to; payor websites, employer benefit departments, servicing provider representative, internal electronic medical record and charging source systems
Communicates and collects estimated out of pocket liabilities in advance of services and/or counsels appropriate party with options available to assist them via enrolling in governmental programs, setting up payment plans, and/or completing the full application process for BTNRH Financial Assistance, depending on current income levels, lifetime max benefit levels, and any catastrophic medical needs or services rendered. Screens for potential secondary Medicaid eligibility in instances where there is high patient out of pocket that Medicaid may pay on
Screens and assists patients in completing NE Medicaid or independent state agency Medicaid applications and provides aid in ensuring the proper documentation for approval of their application is obtained and submitted to agency officials. Applications may be made through various programs such as MHCP, Emergency Alien Medical Program, and various waiver program applications
Works all COB denials from Medicaid & Managed Care Medicaid, contacting the patient &/or guardian to identify whether other commercial coverage is active, gathering all pertinent information, updating Epic and ensuring new primary claims are submitted in the correct filing order
Completes all pre-collection calls in an effort to assist the patient in determining an acceptable payment plan, if they qualify for financial assistance &/or eligibility for Medicaid/Government agency healthcare programs and minimizing outsourcing A/R to our 3rd party collection agency
Reviews all bankruptcy notices and handles all necessary adjustments to ensure we are complaint with all existing bankruptcy laws & regulations
Reviews clinic schedules to determine opportunities regarding no coverage, potential high dollar visits or new patients missing necessary insurance information that can be obtained prior to the date of visit and services rendered
Refers patients to appropriate SSI office to apply for disability when conditions warrant this type of assistance
Maintains summary data to report quarterly, or as needed, to re-cap activities, time, and expenses related to filing financial assistance applications, Medicaid application processing, community resource referrals CHIPS, COBRA benefit reviews, and collection efforts
Serves as a liaison between the patient, referral sources (e.g., Customer Service, Social work, Registration, Physicians, Hospital, and Ancillary service lines), BTNRH Patient Financial Services and clinical operations to explain charges and offer acceptable payment options and/or outside agency resources
Performs annual review and updating of policy and procedures relating to financial assistance guidelines and practices
Checks all pending Medicaid applications daily. At point of approval, reviews patient level encounters and account information, makes appropriate updates to coverage, alerts pre-certification and/or utilization review nursing team for any patients currently admitted or pending admission status and flags accounts for claims processing. For denied applications, determines cause of denial and determines eligibility for financial assistance or appropriate payment options
Performs a monthly check, during the first week of each month, of all in-house NE & IA Medicaid patients, as well as any scheduled surgeries in the current month, previously eligible for the prior month. Making appropriate updates to all affected systems, as well as providing updates to appropriate other parties as needed for billing, authorization and discharge planning purposes
Assists the patient with contacting insurance companies when questions arise concerning benefits, coverage, and payment liability for services, either proactively or with dispute of existing charges
Performs proactive review of all self-pay accounts scheduled for services to be performed at BTNRH clinics and/or currently admitted to the facility that may involve potentially high dollar services or lengthened stays prior to discharge
Acts as liaison between BTNRH and States of IA and NE departments of Health and Human Services to remain informed of policies and guidelines as well as changes and updates. Annually coordinates and attends on-site informational meeting with state representatives to update BTNRH on available programs available to the public, changes in procedures, policies and/or guidelines, and to address any questions/concerns staff may have regarding current policies and procedures
Provides timely communication updates to members of leadership, compliance and marketing as needed to ensure compliance and accuracy of marketing materials
Annually reviews and updates federal poverty guidelines based on federally driven standards
Qualification
Required
High school diploma or equivalent required
Minimum of 5 years of experience in healthcare, with collections, follow-up or customer service focus required
Knowledge of medical insurances (Medicare, Medicaid, PPO, HSA plans, and Commercial), EMTALA regulations, hospital and professional billing service and collection process required
Preferred
Associates degree or post-secondary education in fields of Business, Healthcare, Finance or Customer Service preferred
Experience working in Electronic Medical Record preferred
Benefits
Reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location
Low to zero-dollar co-pays on certain maintenance drugs
No cost mental health visits to an in-network provider
A generous match on their 401K or 401K Roth account
Tuition reimbursement
Parenting resources from our experts
Professional development opportunities within the organization
Company
Boys Town
Boys Town specializes in social services, mental health, criminal justice, community strengthening and healing services.
Founded in 1917Boys Town, Nebraska, USA
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Rod Kempkes
Chief Executive Officer
Judy Rasmussen
Executive Vice President, Chief Financial Officer
Recent News
2025-12-24
Seattle TechFlash
2025-07-07
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