Patient Financial Advocate

North Oaks Health System; Hammond (LA); On-site; USD 29,000 - 41,000; Part time

Job summary

North Oaks Health System in Hammond is seeking a part-time Financial Counselor to support the Financial Assistance Center. You will screen patients for Medicaid programs, SSI, and charity care, process applications, and help with billing and reimbursement processes.

You will work with Social Services, Insurance Verification, and Nursing Units, maintain documentation, and assist in training new staff while adhering to HIPAA and confidentiality requirements.

Qualifications

• High school graduate or equivalent is required
• General math skills required
• Minimum of two years of customer service, problem resolution and telecommunication experience
• Knowledge of Medicaid and Charity Care. Working knowledge of billing, benefit verification, pre-certification and reimbursement policies of third party payers required
• Medical terminology helpful
• Data entry and computer skills
• Excellent written and oral communication skills

Responsibilities

• On a daily basis, monitor and interact with the patient/family member to screen and provide various types of financial assistance to patients while maintaining positive public relations.
• Screen patients for all Medicaid Programs, Supplemental Security Income, and Financial Assistance. Complete and process applications as appropriate.
• Maintain follow up on Medicaid and Financial Assistance applications for approval. Medicaid follow up in 15 days after submission and Financial Assistance needs to be followed through until a final determination is received.
• Verify, obtain and if necessary correct Insurance information and add appropriate carrier/plan information, ensuring that all steps have been completed so that proper billing, follow up and reimbursement can be obtained.Insurance information may be obtained from the patient through a phone call, walk-in, mail, etc.
• Have working knowledge of insurance billing, insurance reimbursement and third party payer specifications in regard to admission criteria, pre-certification, prior authorization or second opinion requirements.
• When necessary, complete a Charity Care Assistance Application for “indigent care” patients. This process includes gathering financial information, completing the application, noting all accounts, routing all information for approval.
• Interact with Social Service, Case Management, Insurance Verification and Nursing Units involving patient financial concerns.

Skills

Customer service

Problem resolution

Telecommunication experience

Medicaid knowledge

Charity Care knowledge

Data entry

Computer skills

Written and oral communication

Medical terminology helpful

Education

High school diploma or equivalent

Job description

North Oaks Health System in Hammond is seeking a part-time Financial Counselor to support the Financial Assistance Center. You will screen patients for Medicaid programs, SSI, and charity care, process applications, and help with billing and reimbursement processes.

You will work with Social Services, Insurance Verification, and Nursing Units, maintain documentation, and assist in training new staff while adhering to HIPAA and confidentiality requirements.