Patient Financial Advocate

Life in Pittsburgh; Pittsburgh (Allegheny County); On-site; USD 42,000 - 62,000; Full time

Job summary

UPMC Magee Women’s and Children’s Hospitals is hiring full-time Patient Financial Advocates to support the Patient Advocacy department. They may cover Magee Women’s, Children’s, and Western Psychiatric Hospitals as needed, with 8:00am–4:30pm or 11:00am–7:00pm shifts.

The role focuses on educating patients about financial obligations and assisting with insurance enrollment and assistance programs. Responsibilities include counseling patients on benefits, assisting with Financial Assistance

Qualifications

• High School diploma or equivalent with 5 years' experience, OR Bachelor's degree with 1 year experience.
• Bachelor's degree in a related field preferred.
• Proficient in at least 2 patient accounting systems such as EPIC, Medipac, AIM and/or Invision.
• Strong PC and computer skills; excellent communication and customer service.

Responsibilities

• Promote values of quality, safety, dignity, respect, and integrity in all patient interactions.
• Assist uninsured or underinsured patients with obtaining health care coverage and explain benefits.
• Counsel patients and families regarding available resources and financial assistance programs.
• Explain insurance benefits and set up payment plans; review accounts flagged for follow-up.

Skills

Communication skills

Customer service

Leadership

PC skills

Education

High School diploma + experience

Bachelor's degree preferred

Tools

EPIC

Medipac

AIM

Invision

Job description

Do you have experience with insurance? Are you looking to help educate patients and their families on their financial obligations? UPMC is hiring full-time Patient Financial Advocates to support the Patient Advocacy department. Positions are available at UPMC Magee Women's and Children’s Hospitals. The employee may be asked to cover at Magee Women's, Children's, and Western Psychiatric Hospitals as needed for staffing needs. The employee would work Monday through Friday with available shift times of 8:00am-4:30pm or 11:00am-7:00pm as the employee is required to go into patient rooms.

Responsibilities:

• Perform duties and job responsibilities in a manner which promotes the core values of UPMC (Quality and Safety, Dignity and Respect, Caring and Listening, Excellence and Innovation, Responsibility and Integrity) in all consumer and UPMC interactions.


• Assist uninsured or underinsured patients with obtaining health care coverage with either the Health Insurance Exchange Marketplace or Pennsylvania Medical Assistance.Counsel patients and their families, in a hospital setting regarding the resources available.


• Utilize the Medical assistance/Financial Assistance Screening tool with patients when applicable.


• Submit Medical Assistance Presumptive Eligibility applications with the mandated requirement of five days.


• Assist patients with applying for UPMC Financial Assistance Program.


• Ensure that all the regulatory and financial requirements are met.


• Assist patients with explaining their insurance benefits.


• Assist patients with other methods of financial counseling, i.e., explaining insurance benefits, requesting price estimates and setting up payment plans.


• Monitor the various work lists and work queues to ensure the appropriate follow-up within the expected time periods.


• Resolve complex outstanding patient issues.


• Conduct daily review and analysis of accounts flagged for review.


• Assist with inquiries from walk-in patients regarding billing problems in conjunction with the Patient Financial Services Department.


• Perform benefit education and financial counseling on potential out of pocket expenses for patients who have services scheduled.


• Maintain department productivity levels.


• Maintain compliance with quality standards.


• Perform in accordance with system-wide competencies/behaviors.


• Perform other duties as assigned.

• High School diploma or equivalent and 5 years' experience, OR Bachelor's degree and 1 year experience required.


• Bachelor's degree in a related field, Business Administration or Social Work preferred.


• Must be proficient in at least 2 patient accounting systems such as EPIC, Medipac, AIM and/or Invision.


• Strong PC and computer skills required.


• Must possess excellent communication and customer service skills.


• Must display leadership skills.

Licensure, Certifications, and Clearances:

• Act 31 Child Abuse Reporting with renewal


• Act 33 with renewal


• Act 34 with renewal


• Act 73 FBI Clearance with renewal

UPMC is an Equal Opportunity Employer/Disability/Veteran