Patient Financial Advocate

Cleveland Clinic; Cleveland (OH); Remote; USD 23,000 - 33,000; Full time

Job summary

Cleveland Clinic is seeking a Patient Financial Advocate to help patients navigate financial responsibilities and options. This remote caregiver role supports families from 8:30 a.m. to 5:00 p.m. and requires residence in the Northeast Ohio area to enable local coverage.

You will counsel patients on insurance benefits, advocate with carriers, initiate prepays, and document activities in appropriate systems while ensuring compliant billing and compassionate service.

Qualifications

• High School Diploma/GED with 3 years in a customer-facing role or equivalent.
• Associate’s Degree with 2 years experience or higher.
• Bachelor’s Degree with 1 year experience or more.

Responsibilities

• Counsel patients regarding insurance benefits and payment options.
• Advocate for patients with insurance carriers and other sources.
• Initiate prepays and follow up to maximize collections.
• Identify and resolve registration, billing, and coverage issues.
• Document interactions accurately in relevant systems.
• Scan agreements and send clearance notifications.

Skills

Customer service

Communication

Advocacy

Education

High School Diploma/GED + 3 years experience

Associate’s Degree + 2 years

Bachelor’s Degree + 1 year

Tools

EPIC

Cisco

Job description

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world.

Patient Financial Advocates assist patients in navigating financial responsibilities when they are uninsured or when their insurance is not accepted at Cleveland Clinic. In this position, you will counsel patients and responsible parties regarding their payment obligations and available options. Your efforts can positively impact the lives of patients and their families in numerous ways, offering a unique opportunity to make a lasting difference in your community and beyond.

A caregiver in this role works remotely from 8:30 a.m. – 5:00 p.m.

To be considered for this position, candidates must reside in the Northeast Ohio area.

A caregiver who excels in this role will:

• Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance by explaining financial responsibilities for services received, payment options and collection procedures to patients and parties responsible for payment.
• Contact insurance carriers or other sources and act as an advocate for the patient.
• Initiate process for collecting prepays due and perform follow-up to ensure maximum collection is achieved.
• Identify and resolve issues related to registration, financial clearance, insurance company authorization requirements, billing, insurance company explanation of benefits, provider-based billing, governmental requirements, HCAP/FAP policies and restrictions, MyAccount and collections.
• Update and correctly document in appropriate computer systems.
• Scan letter of agreements and send clinical clearance notifications.

Minimum qualifications for the ideal future caregiver include:

• High School Diploma/GED and three years of experience in a customer-facing role with in-person or phone contact
• OR Associate’s Degree and two years of experience
• OR Bachelor’s Degree and one year of experience

Preferred qualifications for the ideal future caregiver include:

• Associate’s or Bachelor’s Degree
• Strong collection skills
• Experience with EPIC and Cisco

Physical Requirements:

• Normal physical demands include dexterity sufficient to operate CRT/PC and other office equipment.
• Requires the ability to sit and be stationary for prolonged periods of time, normal or corrected vision and manual dexterity sufficient to perform work on a personal computer.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required.

Pay Range

Minimum hourly: $16.47

Maximum hourly: $23.61

The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic’s benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).