PATIENT FINANCIAL ADVOCATE I
Company: Owensboro Health
Location: Greenville
Posted on: June 22, 2022
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Job Description:
Job SummaryProvides financial advocacy counseling to
patients/families to help assure that individuals who are eligible
for insurance coverage, premium assistance, and/or financial
assistance know about their coverage and payment options and have
the opportunity to obtain in-person assistance with the enrollment
and financial assistance process. Delivers education in regard to
explaining affordability programs, qualified health plans,
essential health benefits and rights when using insurance, as well
as Owensboro Health financial assistance programs and financial
policies. Job ResponsibilitiesEducates patients/guarantors on
Owensboro Health financial policies and financial assistance
processes and assists them with obtaining coverage, applying for
financial assistance, and/or making payments or payment
arrangements.Assists patients/guarantors with opening or accessing
an account with KYNect and obtaining help with premium and
cost-sharing discounts through the Marketplace.Understands the
web-based decision tools and guides patients through the process of
narrowing choices for qualified health plans.Reviews daily census
or clinic schedule and identifies any uninsured accounts that
require screening or accounts with outstanding balances requiring
intervention to discuss payment options.Makes all efforts to
contact uninsured patients in work queues and screens them for
appropriate coverage or financial assistance and/or sets up payment
arrangements.Reviews uncollectible accounts such as deceased
patient, bankruptcy, and return mail to send to agencies or
attorney for next level of collection process.Retrieves all
necessary documentation of bad debt/charity adjustments as needed
for Medicare Cost Report.Must maintain eligibility as a Certified
Application Counselor (CAC) and comply with any licensing,
certification, or other standards prescribed by the state, if
applicable.Assists with processing patient admissions, transfers,
and discharges.Assembles and maintains patient records and
charts.Confirms eligibility and verifies insurance benefits,
referral, and authorization for identified patient
registrations.Answers patients' questions on patient responsible
portions, co-pays, deductibles, write-offs, etc.Resolves patient
complaints or explains why certain services are not covered.Handles
patient' private funds; bank accounts for residents and allocation
of private spending funds.Responsible for self-pay
accounts.Completes Representative Payee report annually.Compiles
May 350 Medicaid coverage.Manages 360 Care insurance plans for
podiatry, audiology, dental, and vision.QualificationsAssociate's
degree or higher in related field required upon hireA combination
of education, training and experience may be considered in lieu of
degree.No experience requiredNo
licensure/certification/registration requiredSkills and
AttributesRequires critical thinking skills and decisive
judgment.Works under direct supervision.Must be able to work in a
stressful environment and take appropriate action.Learning and
applies knowledge at a basic level relying heavily on senior staff
for troubleshooting.Physical DemandsStanding: OccasionallyWalking:
OccasionallySitting: FrequentlyLifting 0-25 lbs: RarelyLifting
25-75 lbs: NeverLifting over 75 lbs: NeverCarrying 0-25 lbs:
RarelyCarrying 25-75 lbs: NeverCarrying over 75 lbs:
NeverPushing/Pulling 0-25 lbs: RarelyPushing/Pulling 25-75 lbs:
NeverPushing/Pulling over 75 lbs: NeverClimbing:
RarelyBending/Stooping: RarelyKneeling: RarelyCrouching/Crawling:
RarelyReaching: OccasionallyTalking: FrequentlyHearing:
OccasionallyRepetitive Foot/Leg Movements: NeverRepetitive Hand/Arm
Movements: FrequentlyKeyboard Data Entry: FrequentlyRunning:
NeverVision: Depth Perception: FrequentlyVision: Distinguish Color:
FrequentlyVision: Seeing Far: FrequentlyVision: Seeing Near:
FrequentlyOwensboro Health Core CommitmentsINTEGRITY - We conduct
ourselves with a high level of responsibility, reliability and
honesty because we take seriously the trust of our patients and
coworkers.RESPECT - We value and accept the unique talents and
contributions of every patient, customer and team member in the
Owensboro Health community.TEAMWORK - We build a spirit of
connectivity and fellowship by striving together to overcome
obstacles, surpass goals, celebrate accomplishments and plan the
future.INNOVATION - We foster original ideas and creative solutions
that improve our daily work and promote the mission of Owensboro
Health.SERVICE - We focus on service to patients, customers and
team members by anticipating their needs, thoughtfully meeting
those needs and continually improving the quality of everything we
do.EXCELLENCE - We reach beyond basic expectations to expand our
knowledge and awareness, produce exceptional work and provide
outstanding service.
Keywords: Owensboro Health, Clarksville , PATIENT FINANCIAL ADVOCATE I, Accounting, Auditing , Greenville, Tennessee
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