Patient Financial Advisor
The Patient Financial Advisor screens uninsured patients for Medicaid and financial assistance; assists patients in completing Medicaid and financial assistance applications; manages Medicaid eligibility/application process; collects patient responsibility for unscheduled insured inpatients and observation patients; and utilizes critical thinking skills to determine the most appropriate resources available to assist patients in need.
Responsibilities
- Customer Service
- Educates, screens, and assists patients who do not have valid insurance coverage to enroll in third‑party eligibility programs.
- Interviews qualified patients for potential funding sources, which may include Medicaid, financial assistance programs (FAP), and/or alternative funding sources.
- Performs all associated functions timely and accurately.
- Critical Thinking
- Analyzes patient financial condition based on interview and inputs into financial counseling system.
- Calculates patient out‑of‑pocket amounts due and collects on those amounts for unscheduled inpatient and observation admits having insurance coverage.
- Maintains complete records of all patients applying for indigent or financial assistance.
- Verifies and assures all accounts are ready for routing for approval for charity or billing with adequate supporting documentation within the established time frames.
- Demonstrates ability to work independently, be attentive to detail, and ensure work is completed timely and accurately.
- Manages multiple and simultaneous responsibilities and prioritizes duties/tasks.
- Identifies trends that may indicate problem areas and alerts supervisor/manager/director.
- Interpersonal Relations
- Works closely with Case Management (UR) daily regarding notification of active Medicaid coverage, authorizations, and changes to Healthy Louisiana Plans.
- Maintains daily contact with Utilization Management, Business Office, patient Registration, Medical Records, Ancillary departments, HMO/PPOs, patients, patient families, physician offices and other outside entities.
- Actively participates and encourages others to utilize creative and innovative approaches to accomplish tasks.
- Other Duties as Assigned
- Performs other duties as assigned.
Qualifications
- Experience: 1 year in financial services, insurance, or billing/patient accounts.
- Education: Bachelor’s Degree.
Special Skills / Training
- Advanced clerical and computer skills judgment.
- Analytical skills and communication skills required to accomplish goals in settings that are often sensitive.
- Must be familiar with a variety of funding sources and eligibility and must possess a thorough understanding of hospital billing.