Patient and Family Financial Advocate

Dayton Children's Hospital; Dayton (OH); On-site; USD 25,000 - 39,000; Full time

Job summary

Dayton Children's Hospital is seeking a Patient and Family Financial Advocate at the Main Campus to help patients navigate insurance benefits and potential financial liability. Under the direction of the Pre-Service Operations Manager, you will assess financial and social situations to determine eligibility for assistance and coordinate with public agencies to document outcomes.

The role requires strong customer service, data entry accuracy, knowledge of billing regulations, and familiarity with

Qualifications

• High School diploma or GED required.
• Associate’s degree preferred.
• Finance orientation modules completed within six months of hire.

Responsibilities

• Assist patients in understanding insurance benefits and potential financial liability.
• Identify patients eligible for financial and social assistance from public agencies.
• Act as liaison between patient and public agencies and document the assessment outcomes.
• Ensure accurate data entry of demographic and financial information for each account.
• Demonstrate understanding of regulatory and third-party payer guidelines for outpatient and inpatient services.
• Maintain knowledge of managed care, Medicare and Medicaid billing rules.
• Show strong organizational and time-management skills.

Skills

Customer service

Data collection

Analytical skills

Team collaboration

Time management

Organizational skills

Education

High School Diploma or GED

Associate’s degree

Tools

EPIC

Job description

Facility:

Dayton Children’s - Main Campus

Department:

Patient Access - Pre-Registration/Prior Authorization

Schedule:

Full time

Hours:

40

Job Details:

Under the direction of the Pre-Service Operations Manager, the Patient and Family Financial Advocate is responsible for providing patients with an exceptional financial experience by assisting patients navigate and understand insurance benefits and potential financial liability. Financial Advocates identify patients who may be eligible for financial and social assistance from various public agencies by assessing their financial and social situations, acting as liaison between the patient and the public agencies and documenting the assessment and outcome. Financial Advocate staff ensure that all data entry is accurate including demographic and financial information for each account to guarantee the successful financial outcome of all patient services. Must demonstrate understanding of regulatory and third-party payer guidelines for outpatient and inpatient services while being familiar with managed care, Medicare and Medicaid rules regarding billing, coverage and reimbursement rules.

Department Specific Job Details:

Monday-Friday

8am - 5pm

Every 4th weekend rotation

Education

• High School Diploma or GED required
• Associate’s degree is preferred
• Financial Advocate orientation modules completed within six (6) months of hire required

Experience

• Minimum of one (1) year of experience in patient access, patient accounts, customer service, or a large hospital/medical front office is required
• Two (2) or more years of experience is preferred

Required Qualifications

• Proficient in customer service and data collection processes
• Strong analytical and problem-solving abilities
• Demonstrated ability to support, motivate, and collaborate with a team
• Solid understanding of healthcare billing regulations, insurance processes, and compliance requirements
• Excellent organizational and time-management skills

Preferred Qualifications

• Medical Terminology
• EPIC