Patient Financial Advocate - Self Pay Operations - FT 1.0 (80 hrs biweekly) (62197)

In an environment of continuous quality improvement, the Patient Financial Advocate is responsible for serving to help all patients-especially those who are uninsured, underinsured, and have low incomes-assess and assist in resolving financial situations.  This includes establishing payment plans and other financial arrangements, determining patients’ eligibility for hospital-sponsored charity care and external financial assistance, and collecting patient’s remaining estimated balances at point of service. Exhibits the MHS Standards of Excellence and exercises strict confidentiality at all times.

Job Functions:

1. Assists uninsured and underinsured patients with obtaining health care coverage
2. Conducts detailed discussions with patients, obtains information, and collaborates with on-site Medicaid eligibility vendor to determine patient’s eligibility for Medicaid programs.
3. Submits Ohio Department of Medicaid Presumptive Eligibility applications and collaborates with Medicaid on-site eligibility vendor to ensure patients complete full Medicaid application.
4. Performs benefit education, price estimates, and financial counseling on potential out-of-pocket expenses for patients who have services scheduled.
5. Assists patients in filling out financial assistance applications, obtains required information, and adjusts accounts correctly using established guidelines for charity care programs.
6. Assists with inquiries from telephone calls and walk-in patients regarding billing problems.
7. Contacts patients with outstanding balances to review account information, examine patient’s eligibility for financial assistance, and sets-up payment plans.
8. Finds resources through drug manufacturers, drug assistance programs, and foundations to assist patients in paying for their medications.
9. Assists employees by setting up payment plans through payroll deduction.
10. Collects and posts cash, credit card payments, and appropriate discounts to patient accounts, and balances cash drawers daily.
11. Ensures donated funds are applied promptly and appropriately to patient accounts.
12. Assumes all other duties and responsibilities as necessary.

Minimum Education/Experience Required:

• Associates degree in business related field or a minimum of one year of equivalent experience in business or job related field required.

Special Knowledge, Skills, Training:

• Experience in discussing and resolving financial situations with patients
• Computer skills, including but not limited to Microsoft Word and Excel
• Excellent organizational, time management and customer service skills

Compensation Details:  Education, experience, and tenure may be considered along with internal equity when job offers are extended.
 

Benefits:  Memorial Health System is proud to offer an affordable, comprehensive benefit package to all full time and flex time employees.  To learn more about the many benefits we offer, please visit our website at www.mhsystem.org/benefits.

Bonus Eligibility:  Available to qualifying full or flex time employees. Eligibility will be determined upon offer.

Memorial Health System is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, found online at https://www.ocio.usda.gov/document/ad-3027, or at any USDA office, or call (866) 632-9992 to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, D.C. 20250-9410, by fax (202) 690-7442 or email at program.intake@usda.gov.

* Memorial Health System is a federal drug-free workplace.  This policy prohibits marijuana use by employees.