Patient Advocate Representative - Remote - United States
JOB SUMMARY
Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Conducts interviews with patients and/or family members.
- Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.
- Performs financial clearance function including collections. Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
- Follows up on EES assigned accounts to ensure follow-through on Government application submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
- Conducts field visits to patient homes for skip tracing and or assisting patient with documents.
- Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Working familiarity with the rules and regulations pertaining to Federal, State and County programs
- P/C systems literate including Windows, and Microsoft Outlook, Excel and Word …
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Regions Countries Benefits/Perks401k with up to 6% employer match Competitive benefits package Employee assistance Employee Assistance Program Employee Discount Program Health Savings Accounts Life Insurance Paid holidays Paid Time Off Voluntary benefits
SkillsBilingual (Spanish) C Case Management Commercial Insurance Communication Computer Excel Healthcare industry expertise Leadership Microsoft Outlook Outlook P/C systems Technical Training Windows Word Written communication
Tasks- Assisting patients with benefit applications
- Completing Financial Statement forms
- Conducting field visits for skip tracing
- Conducting patient interviews
- Conducts interviews
- Developing patient relationships
- Financial clearance
- Following up on Government applications
- Identifying potential payors
- Maintaining documentation
- Notifying staff of case determinations
- Performing financial clearance
- Screening patients for eligibility
- Screening self-pay patients
2 years
EducationAccounting Business High school diploma High school diploma or equivalent Related area
RestrictionsPosition may be eligible for a signing bonus for qualified new hires Vaccination and screening requirements
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9