Patient Financial Advocate

UPMC; Pittsburgh (Allegheny County); On-site; USD 42,000 - 54,000; Full time

Job summary

UPMC is hiring full-time Patient Financial Advocates to support the Patient Advocacy department. Positions are available at UPMC Magee Women's, Children’s, and Western Psychiatric hospitals.

The employee would need to work either Thursday-Monday or Friday-Tuesday. Available shift times are flexible and the employee could select their shift upfront as long as they are able to work within normal daylight/evening hours as the employee is required to go into patient rooms.

Qualifications

• Experience in financial counseling or billing in a health-care setting.
• Ability to counsel uninsured/underinsured patients.
• Familiarity with Pennsylvania Medical Assistance and Health Insurance Marketplace.
• Ability to screen and assist with financial assistance programs.
• Strong knowledge of regulatory and financial requirements.

Responsibilities

• Provide timely financial counseling to patients and families.
• Assist with applications for PA Medical Assistance, Health Insurance Marketplace, and UPMC Financial Assistance.
• Explain insurance benefits and payment options to patients.
• Monitor patient accounts and follow up on inquiries and problems.
• Maintain department productivity and ensure quality standards.
• Support walk-in inquiries regarding billing issues in collaboration with the Patient Financial Services Department.

Skills

Financial counseling

Insurance knowledge

Communication skills

Customer service

Regulatory compliance

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, Children’s, and Western Psychiatric hospitals. The employee would need to work either Thursday-Monday or Friday-Tuesday. Available shift times are flexible and the employee could select their shift upfront as long as they are able to work within normal daylight/evening hours as the employee is required to go into patient rooms.

The Patient Financial Advocate is responsible for the timely and accurate financial counseling of uninsured or underinsured patients. They also assist the patient in applying for Pennsylvania Medical Assistance, the Health Insurance Exchange Marketplace, and UPMC Financial Assistance Program.

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.