Patient Financial Advocate Bilingual Float

Job Description

:A Patient Financial Advocate (PFA) provides financial counseling to uninsured/ underinsured patients, by determining eligibility for IMH patients and individuals in the communities we serve. Patient Financial Advocates assist patients by processing and submitting documentation and applications for various medical assistance programs, such as: State/ Federal public benefits, ACA insurance education, and internal/ external financial assistance/aide programs. A Patient Financial Advocate will provide general insurance education, price quotes to potential patients, and assist with payments and payment arrangements.

Schedule - Must be available to work variable days and hours

• Register patients. Confirm, enter, and/or update all required demographic data on patient and guarantor on registration system. Avoid overlays and duplicate patient medical records.
• Follow procedures when identifying a patient and applying the patient identification bracelet. Register patients during downtime following downtime procedures and enter data into registration system immediately upon system availability.
• Obtain and explain copies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization if not verified by PASC. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable.
• Verify insurance to determine coordination of benefits and obtain authorization and/or referrals as required.
• Screen for and process non-covered services and waiver of liability (ABN) through automated screening at time of service.
• Inform self-pay patients of liability due, prepayment requirements and coordinate screening of alternate funding sources if applicable. Prepare estimate of procedures, calculate advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Coordinate with clinical areas and other ancillary departments to obtain accurate orders in order to establish patient financial expectations.
• Collect patient payments and provide accurate receipt. Post all payments in system. Reconcile receipts with cash collected and complete required balancing forms.
• Document patient account notes for all interactions/transactions.
• Maintain departmental and/or individual work queues and reports as required.
• - Explain/answer patient billing inquiries and interpret statement data to resolve accounts.
• Escalate account issues which cannot be resolved. Update the emergency department room tracking system, if applicable.
• Meet departmental productivity and quality standards.
• Promote mission, vision, and values of Intermountain Health, and abide by service behavior standards.
• Perform other duties as assigned.

Minimum Qualifications

• High School diploma or equivalent.
• Ability to communicate effectively and diplomatically within a multi-functional team.
• Strong organizational skills and attention to detail.
• Ability to successfully function in a fast paced, service oriented environment.

Preferred Qualifications

• Experience applying for public benefit programs
• Experience in financial assistance
• Bilingual Spanish speaker

Physical Requirements:

Manual dexterity, hearing, seeing, speaking.

Location:

Intermountain Health Lutheran Hospital

Work City:

Wheat Ridge

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$ - $

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.