Patient Financial Advocate
Core
Serve as a liaison between the hospital, patients, and families to determine medical expense portions, secure financial resources, and resolve billing issues.
Role type
Patient Financial Advocate
Builds
Financial resolution plans and payment arrangements for patients
Domain
Healthcare administration / Patient financial services
Deliverable
client delivery
Required skills
Medical terminology, Current Procedural Terminology (CPT), International Classification of Diseases (ICD), third-party coverage knowledge, prior authorization processes, state and federal assistance program eligibility, insurance verification, negotiation, documentation management
Preferred skills
Healthcare coding knowledge
Responsibilities
Interview patients regarding financial status to promote eligibility for assistance programs; verify insurance coverage and obtain pre-authorizations; coordinate insurance denial processes; negotiate payment conditions and plans; assist patients in obtaining documentation for public assistance; collaborate with providers to resolve billing issues and denials; maintain records on state and federal programs.
Seniority
Mid-level, individual contributor