Pediatric Family Financial Advocate

Phoenix Children's; Phoenix (AZ); On-site; USD 50,000 - 62,000; Full time

Job summary

Phoenix Children's is seeking a Family Financial Services Counselor to educate patient families on applicable insurance benefits and payment options for out-of-pocket amounts due, coordinating with the care team to ensure full understanding of liability and coverage.

The role also involves helping uninsured/underinsured families obtain 3rd party coverage, processing financial assistance applications, and guiding families through the Phoenix Children's financial assistance process.

Responsibilities

• Meets with insured patient's parent/guardian to explain relevant benefits and applicable out of pocket amounts based on data obtained through various electronic tools and payer websites.
• Determine family's ability to pay.
• Review existing balances with families.
• Develop a comprehensive plan to cover out of pocket amounts which may include: Prompt pay discounts, Secondary coverage, Payment plans, Financial assistance/sliding scale discount, Other options.
• Assist with the resolution of billing inquiries by facilitating process with customer service.
• Meets with self-pay patient's parent/guardian to assess options for coverage payment which may include: Prompt pay discounts, Commercial coverage, Government coverage, Financial Assistance/sliding scale discount.
• Provide patient estimates prior to service to assist patients in determining cost of services and options for payment.
• Provide accurate and timely documentation for patient's accounts explaining activities and interactions with family members, staff, and outside sources on behalf of the patient.
• Provide complete and orderly financial assistance packets to management for review and approval.
• Tracks all financial assistance applications in central repository.
• Works collaboratively with PC/PCMG departments, payers, and vendors on behalf of the patient.
• Maintains a general understanding of the Federal Marketplace, Medicare, Managed Care, AHCCCS, and other third party payer rules, authorization and billing requirements.
• Provides feedback to management regarding work related problems and assists with resolution to provide excellent customer service.
• Performs miscellaneous job related duties as requested.

Job description

Phoenix Children's is seeking a Family Financial Services Counselor to educate patient families on applicable insurance benefits and payment options for out-of-pocket amounts due, coordinating with the care team to ensure full understanding of liability and coverage.

The role also involves helping uninsured/underinsured families obtain 3rd party coverage, processing financial assistance applications, and guiding families through the Phoenix Children's financial assistance process.