Job Description

Job Description:A Patient Financial Advocate is responsible for providing financial counseling to uninsured/ underinsured patients, by determining medical assistance eligibility for patients in clinic, hospital outpatient/inpatient, emergency settings, and in a call center environment. Patient Financial Advocates assist patients with submitting and/or processing documentation to complete applications for various medical assistance programs, such as: State/ Federal public benefits, ACA insurance availability, and internal/ external financial assistance programs. A Patient Financial Advocate will provide general insurance education, provide price quotes to potential patients, and assist with payments and payment arrangements.This position will be screening patients for Medicaid eligibility and providing education on Federal Marketplace tax credits, financial assistance programs, and other available coverage options. This role assists patients in understanding and accessing healthcare financial resources while supporting patient interactions across inpatient units, the Emergency Department, and Mother/Baby services through in-person visits and financial counseling.Schedule - Monday - Friday 8:00am - 4:30pmEssential FunctionsProvides financial counseling and assistance to patients and their families, explaining their insurance coverage, benefits, and out-of-pocket costs.Identifies and facilitates the application of financial assistance programs, such as Medicaid, charity care, or payment plans, for eligible patients.Completes and submits appropriate applications to Department of Human Services or MA Site as applicable. Follows up through determination.Obtains and verifies insurance information, authorizations, and referrals for scheduled and unscheduled services.Reviews and updates patient accounts, ensuring accuracy and completeness of demographic and financial information.Follows up with patients, providers, and insurance companies to resolve billing issues and disputes.Educates patients on their financial obligations and rights and provide information on billing policies and procedures.Documents all financial counseling and assistance activities in the electronic health record system.Collaborates with other departments and teams to ensure a positive and seamless patient experience.SkillsHealthcare InsuranceBillingFinancial CounselingInsurance VerificationDetail OrientedCompassionCustomer ServiceHIPAAElectronic Health RecordAffordable Care ActQualificationsRequiredDemonstrated experience in healthcare revenue cycle, patient access or other customer service role.Demonstrates knowledge of the Affordable Care Act, Insurance billing, medical terminology, and reimbursement practices.Demonstrated proficiency in interpreting insurance Explanation of Benefits.Demonstrated proficiency in computer skills including Microsoft Office applications, electronic health record systems, internet and emailDemonstrates excellent communication, interpersonal, and problem-solving skills.Ability to work independently and collaboratively in a fast-paced and dynamic environment.Ability to maintain confidentiality and comply with HIPAA and other regulations.Ability to demonstrate compassion, empathy, and respect for patients and their families.PreferredHigh School Diploma or GED.Experience in financial counseling, insurance verification, or collections.Experience with EpicPhysical RequirementsOngoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehiclesLocation:Holy Rosary HospitalWork City:Miles CityWork State:MontanaScheduled Weekly Hours:40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$19.41 - $28.14We 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.By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.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.At Intermountain Health, we use the artificial intelligence (\"AI\") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.All positions subject to close without notice. #J-18808-Ljbffr

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