WVU Medicine · 7 hours ago
Patient Financial Resolution Advocate
Uniontown, PA
Full-time
Onsite
Entry Level
2+ years expWVU Medicine is a healthcare provider that is seeking a Patient Financial Resolution Advocate. This role involves interpreting financial policies, providing financial education to patients, and ensuring financial resolution on accounts by assisting patients with their financial counseling needs.
Health CareHospitalMedical
Responsibilities
Interviews patients who are referred for financial counseling in person or via the telephone to determine financial counseling needs and to help formulate a plan for financial resolution
Uses CPT codes to calculate the estimated procedure cost. Communicates with the patient the anticipated self-pay portion for upcoming services and explores financial resolution options with the patient
Based on information provided by the patient, an initial determination will be made if the patient has adequate benefits or qualifies for Medicaid, special programs or payment arrangements based on federal, state and hospital policy. Refers patients to local, state and/or federal agencies for assistance as needed
Educates patient on their benefits, patient liability and/or the process for applying for Medicaid, completion of the financial assistance application, and payment alternatives
Informs patients of hospital and clinic billing practices/policies and their rights and responsibilities regarding payments
Insured patients who are responsible for a balance after insurance will receive a preliminary financial overview and will be assisted in completion of the financial assistance application if necessary for financial resolution
Reviews completed financial assistance applications and decides eligibility based on hospital policy
Works with specialty departments to establish appropriate financial arrangements for elective services
Identifies and accurately resolves potential patient account issues for WVUHS billing departments
Monitors daily reports to identify large dollar account balances and private pay patient accounts that need resolution
Displays an understanding of third-party payor regulations related to managed care, denials and reimbursement issues
Obtains demographic/billing/insurance information from patient/family/legal guardian and enters in the registration/billing systems for service and claim processing. Obtains and scan patient’s insurance/medical cards and driver’s license into the registration system
Has a working knowledge of current hospital contracts with third-party payors
Collects deposits/co-payments/deductibles/patient liability payments when applicable, provides the patient a receipt and documents payment in the registration/billing systems
Follows up on accounts as indicated by system flags
Balances daily receipts and cash drawer for patient payments, prepares and delivers deposit bag to cashier’s office
Initiates auto accident liability coverage. Identifies all patients involved in an auto accident and obtains all pertinent information regarding medical or non-fault liability and documents in registration/billing systems
Initiates ERSD (end stage renal disease), Veterans Administration eligibility, Black Lung SSI, Workers Compensation, and Medicare Secondary Payer screenings. Updates registration/billing systems as appropriate
Clear accurate documentation of all patient communications and account activities
Uses system software, including online credit card systems
Assists in resolving patient billing questions
Communicates and interacts with clients, families, visitors, physicians, departmental and hospital staff and the public in general in a manner that demonstrates professionalism and concern for the individuals' need(s)
Attends departmental meetings and/or documents review of meeting minutes
Contacts insurance company or employer to determine eligibility and benefits for requested services
Follows up with the patient, insurance company, or provider if there are insurance coverage issues to obtain financial resolution
Assists Patient Financial Services, Patient Access, and Care Management with denial management issues
Communicates problems hindering workflow to management in a timely manner
Prepares WVU Medicine standard consent form, notice of privacy practice and/or other necessary paperwork related to registration and presents to patient/family/legal guardian for signatures. Obtains electronic signature for consent to treat and patient financial obligations
Maintains confidentiality according to policy and HIPAA when interacting with patients, physicians, families, co-workers and the public regarding demographic/clinical/financial information
Answers phone calls in a professional and courteous manner. Uses phone system in correct manner
Follows hospital, state, and federal guidelines for ensuring safe environment for workers, patients, and the public. Ensures compliance by staff to hospital, governmental, and insurance regulations
Organizes and executes daily tasks in appropriate priority to achieve optimal productivity, accountability and efficiency
Utilizes payer portals and payer websites to verify eligibility
Participates in educational programs to meet mandatory requirements and identified needs regarding professional growth
Research and process mail returns
Develops and maintains working knowledge of all federal, state and local regulations pertaining to hospital billing
Monitors accounts to facilitate timely follow-up for financial resolution
Provides excellent customer service to patients, visitors and employees
Participates in performance improvement initiatives as requested
Obtain Certified Revenue Cycle Representative (CRCR) Certification within 1 year
Qualification
Required
High school graduate or equivalent
Ability to accurately utilize applicable computer software and equipment for access processing
Demonstrates ability to follow established computer down time procedures
Must have reading and comprehension ability
Must be able to communicate effectively
Must be able to read and write legible in English
Excellent oral and written communication skills
Working knowledge of computers
Basic knowledge of medical terminology
Excellent customer service and telephone etiquette
Must demonstrate the ability to use tact and diplomacy in dealing with others
Preferred
Two (2) years of experience in a healthcare setting
Basic knowledge of third-party payors
Basic knowledge of time-of-service collection procedures
Basic knowledge of business math
Basic knowledge of ICD-9 and CPT coding
Obtain Certified Revenue Cycle Representative (CRCR) Certification within 1 year
Company
WVU Medicine
West Virginia University Health System is a non-profit organization that offers a full range of healthcare services.
10001+ employees
H1B Sponsorship
WVU Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (11)
2023 (9)
2022 (9)
2021 (7)
2020 (6)
Funding
Current Stage
Late StageLeadership Team
Albert L. Wright, Jr.
President and CEO
Zach Kerns
VP of Finance / CFO East Region
Recent News
Seattle TechFlash
2025-12-21
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2025-11-20
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