Patient Financial Advocates - Admitting - Full time 8 Hours Days (8:00am to 4:30pm) (Non-Exempt, Non-Union)
Core
Provide patients with a positive financial experience by navigating insurance benefits, determining financial liability, and assisting with government and charity programs.
Role type
Patient Financial Advocate (Admitting)
Builds
Hospital and physician reimbursement processes
Domain
Healthcare / Patient Financial Services
Deliverable
client delivery
Required skills
Insurance benefits interpretation, financial liability calculation, government program eligibility screening, payment plan negotiation, data documentation, HIPAA compliance
Preferred skills
Associate degree, prior health insurance or hospital experience
Technologies
Medicare forms, Medi-Cal forms, HMO/PPO systems
Responsibilities
Conduct phone and in-person interviews to obtain treatment consents and insurance acknowledgments; Determine patient financial status and explain financial responsibility; Perform quality control on accounts to verify demographic and financial information; Identify potential third-party liability including Workers' Compensation and COB; Screen patients for financial assistance and charity programs; Calculate and collect cash payments for uninsured patients; Discuss outstanding balances and create payment plans; Work as a liaison with DPSS LA county Medi-Cal representatives; Participate in data gathering for financial reporting.
Seniority
Entry-level to Mid-level, hands-on IC