Patient Fin Team Lead - Patient Access Fin Asst - Dayton - FT/Days

Kettering Health Network; Dayton (OH); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading non-profit healthcare system in Ohio is seeking a Patient Financial Advocate Specialist. This role involves assisting patients in understanding their financial responsibilities and navigating financial assistance programs, ensuring effective communication and customer service. Candidates with relevant experience in financial counseling and strong organizational skills are encouraged to apply, contributing to the health network's mission of providing high-quality care.

Qualifications

• At least two years of relevant work experience demonstrating communication and organizational skills.
• Experience in financial counseling, eligibility screening, or Medicaid application processing strongly preferred.

Responsibilities

• Pre-screens uninsured and underinsured patients to identify potential financial assistance opportunities.
• Assists patients with enrollment in programs including Medicare and Medicaid.
• Conducts comprehensive interviews to determine eligibility for Medicaid and charity care.

Skills

Communication

Organizational Skills

Attention to Detail

Education

High school diploma or GED

Job description

Overview

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the healthcare experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether by providing care in our facilities, training the next generation of healthcare professionals, or serving others through international outreach.

Campus Overview

Kettering Health Dayton

• Kettering Health Dayton, formerly Grandview Medical Center, has been providing care to Dayton and surrounding communities for over 90 years.
• Over 20 specialties, including orthopedics, heart and vascular, surgery, and trauma services.
• Expanded their Emergency Department as well as their heart & vascular services to include an additional catheterization lab and electrophysiology lab.
• Partners with Gem City Market to provide fresh fruits and vegetables every Tuesday within the hospital.
• One of the largest osteopathic teaching hospitals in the United States.
• 371-bed facility.
• Received numerous awards, including:
• Top 100 Hospital
• Patient Safety Excellence Award from Healthgrades in 2019
• An “A” rating from the Leapfrog Group, ranking among the safest hospitals in the U.S.

Responsibilities & Requirements

Patient Financial Advocate Specialist

This individual is responsible for pre-screening and enrolling self-pay (uninsured and underinsured) patients for external financial assistance programs, primarily focusing on Medicaid. They assist patients in completing financial assistance applications, educate them about their financial responsibilities, and help identify ways to resolve balances. The role involves communication with patients both in person and over the phone, requiring a high level of customer service.

• Pre-screens uninsured and underinsured patients to identify potential financial assistance opportunities.
• Assists patients without valid insurance coverage with enrollment in programs including Medicare, Medicaid, and other state-based assistance programs.
• Ensures financial assistance applications are accurately completed before submission.
• Provides staffing coverage at other Kettering Health hospital facilities as needed.
• Works with on-site social workers or outside vendors to complete Medicaid applications, maximizing funding based on eligibility.
• Conducts comprehensive interviews to determine eligibility for Medicaid, charity care, and other programs.
• Provides patients with personalized financial assessments, coverage explanations, and estimated patient liabilities.
• Initiates payment arrangements and collects patient liabilities after financial assistance is approved.
• Educates patients on insurance terms, billing statements, and their financial responsibilities.
• Stays informed of statutes and regulations affecting receivable collection.

Preferred Qualifications

Minimum Education

• High school diploma or GED required.
• At least two years of relevant work experience demonstrating communication and organizational skills.

Minimum Work Experience

• Experience in financial counseling, eligibility screening, or Medicaid application processing strongly preferred.
• Experience in community outreach preferred.
• Familiarity with statutes and regulations impacting financial discussions.

Required Skills

• Knowledge of government assistance programs, guidelines, and application procedures.
• Strong written and verbal communication skills.
• Ability to translate medical and administrative language into understandable terms.
• Attention to detail and confidentiality compliance.