Patient Financial Advocate

Talentify; Wakefield (RI); On-site; USD 30,000 - 38,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Tuition reimbursement

403b

Job summary

South County Health is seeking a Patient Access professional to support the revenue cycle before discharge and after care has been provided. You will contact patients and responsible parties by phone, mail, and email to collect payments and coordinate financial arrangements.

The role requires knowledge of government and commercial insurer coverage, coding systems, and strong data-entry skills with attention to detail. A minimum of three years of related experience is required.

Qualifications

• Strong verbal and written communication skills are required.
• Excellent organizational and planning abilities; proficiency with data entry and spreadsheets.

Responsibilities

• Assist with revenue cycle components prior to discharge and after care is provided.
• Collect upfront payments such as co-pays, co-insurance and deductibles.
• Respond to patients and responsible parties by phone, mail, and email regarding outstanding balances.
• Assess eligibility for financial assistance and health plan coverage; coordinate benefits and denied claims.
• Utilize patient accounting system and admissions modules; maintain accurate records.

Skills

Strong communication

Attention to detail

Data entry

Team oriented

Customer service

Tools

Patient accounting system

Job description

South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. Accredited by The Joint Commission (TJC), SCH is made up of South County Hospital, South County Home Health, and South County Medical Group. South County Health has received numerous distinctions for patient care and safety over the years, which have included a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A’s for hospital quality and patient safety by The Leapfrog Group. Having celebrated over 100 years of service to southern Rhode Island, South County Health offers an exceptional opportunity to provide our patients with the best care possible while enjoying a healthy work-life balance. We offer competitive salaries and an attractive benefits package which includes, health, dental, vision, tuition reimbursement, 403b, PTO, and a broad range of career development benefits and opportunities.

Job Summary:

The Patient Advocacy Program assists with components of the revenue cycle aimed at obtaining financial coverage before the patient is discharged and after patient care has been provided. In addition to collecting upfront payment from patients, such as co-payments, co-insurance, deductibles, fees for elective surgery, existing balances, or pre-care deposits. The position responds to patient and other responsible parties by telephone calls, correspondence and emails. The position makes outgoing telephone calls and sends correspondence to patients and responsible parties on outstanding accounts receivable amounts, payment plans, eligibility for financial assistance, health plan coverage, coordination of benefits and denied claims.

Minimum Qualifications:

Confident and experienced individual with working knowledge of Government and commercial health plan insurer coverage, claim requirements, remittance processing and sliding scales. Working knowledge of health care coding systems (Procedural, Diagnosis, Modifier, Remittance and others). Must be able to read medical notes. Understanding and ability to utilize various electronic, web based and manual coding resources. Responsible for evaluating, processing and resolving patient complaints in accordance with policy and procedure. Ability performing transactions in a patient accounting system as well as the admissions module; proficient data entry, word processing, spreadsheets, and work file computer skills. Ability to troubleshoot problems and demonstrated attention to detail and accuracy. Ability to continue to learn skills and expand knowledge; Strong organizational and planning skills. Strong communication skills including verbal, in person, telephone and written; Demonstrated ability in being a cooperative and productive member of the Patient Access team and possess a positive attitude. Minimum three (3) years related experience is required.

Pay Range: $21.45 - $27.88