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Financial Advocate
Location
Wisconsin
Posted
2 days ago
Salary
$22 - $34 / hour
Seniority
Mid Level
Job Description
Financial Advocate
Advocate Aurora Health
• Calculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service • Communicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care • Explains how non-covered and out-of-network services factor into the out-of-pocket cost • Requests upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances • Establishes payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment • Interviews uninsured patients to assess for qualifying financial needs • Identifies available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s) • Continues follow-up efforts to obtain a funding source for patient’s health services • Initiates credit scoring to determine each patient’s eligibility for Medicaid, hospital-sponsored charity care, and other programs through a comprehensive patient interview • Works in conjunction with state social worker and/or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients’ eligibility • Stays current on regulations and eligibility requirements for government funding, especially Medicare and Medicaid • Collaborates with peers in the operational flow for uninsured patients or patients that are concerned about costs for upcoming services
Job Requirements
- High School Graduate, or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED)
- Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting
- Solid knowledge of how various types of insurances operate related to denials and appeals processes
- Basic medical coding knowledge
- Understanding of insurances, billing and denials
- Ability to use a combination of scripted notes and clear, written communication when documenting in patients’ accounts
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
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