Hybrid Patient Financial Advocate

Ridgeview; Minneapolis (MN); Hybrid; USD 52,000 - 66,000; Full time

Job summary

Ridgeview in Minnesota seeks a Patient Financial Counselor to guide patients through insurance benefits, estimate potential liability, and help arrange payments. You will be the primary contact for financial assistance questions and assist with eligibility for government programs and Ridgeview’s financial assistance options.

The role requires a high school diploma, healthcare experience, customer service background, knowledge of medical terminology, and EPIC/Microsoft Office familiarity.

Qualifications

• High school graduate or equivalent.
• Previous customer-focused healthcare experience.
• Proven customer service experience.
• Knowledge of medical terminology.
• Patient financial and/or cost estimation experience.

Responsibilities

• Serve as the point of contact for all patient financial assistance related questions.
• Communicate with patients to identify financial, social, and medical histories and other relevant patient information.
• Act as liaison between clinical departments, Patient Financial Services, and third parties to advocate for the patient and Ridgeview.
• Gather all relevant information required to process financial assistance requests.
• Assess the current financial situation of patients through the verification of patient insurance benefits; serving as the technical expert in confirming patients benefit coverage and hospital reimbursement.
• Determine the patient’s financial ability to pay and explain insurance coverage and benefits to the patient.
• Initiate the financial screening process as appropriate to evaluate eligibility for assistance programs. Assist the patient in completing financial applications and gathering supporting financial documentation.
• Determine eligibility for care at Ridgeview by assessing patient eligibility for Medical Assistance, Community Programs, and Government Programs.
• Explain Ridgeview’s payment policy to patients. Calculate and explain any patient liability before or at the time of service.
• Counsel patients on out-of-pocket liabilities. Collect deductibles, pre-payments, and outstanding balances following established collection procedures; or alternatively, create a payment plan with the patient and document the agreement appropriately.
• Communicate financial coverage status and applicable financial decisions with all appropriate parties: patient, family, referring providers, and Ridgeview providers.
• Perform other duties as assigned.

Skills

Customer service

English communication

High-stress environment

Attention to detail

Microsoft Office

Medical terminology

Education

High school diploma

Healthcare experience

Customer service experience

Knowledge of medical terminology

Cost estimation experience

Tools

EPIC

Job description

Ridgeview in Minnesota seeks a Patient Financial Counselor to guide patients through insurance benefits, estimate potential liability, and help arrange payments. You will be the primary contact for financial assistance questions and assist with eligibility for government programs and Ridgeview’s financial assistance options.

The role requires a high school diploma, healthcare experience, customer service background, knowledge of medical terminology, and EPIC/Microsoft Office familiarity.