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PATIENT FINANCIAL ADVOCATE III

Owensboro Health

Location: 42301
Type: Non-Remote
Posted on: September 8, 2022
PATIENT FINANCIAL ADVOCATE III Professional Non-Clinical Hours: 8AM-4:30PM Days - Full-time Paygrade/Wages/Salary Info: OH 2013-74 - 40358A
Job Summary Provides financial advocacy counseling to patients/families to help assure that individuals who are eligible for insurance coverage, premium assistance, and/or financial assistance know about their coverage and payment options and have the opportunity to obtain in-person assistance with the enrollment and financial assistance process. Delivers education in regard to explaining affordability programs, qualified health plans, essential health benefits, and rights when using insurance, as well as Owensboro Health financial assistance programs and financial policies. # Job Responsibilities Educates patients/guarantors on Owensboro Health financial policies and financial assistance processes and assists them with obtaining coverage, applying for financial assistance, and/or making payments or payment arrangements. Assists patients/guarantors with opening or accessing an account with KYNect and obtaining help with premium and cost-sharing discounts through the Marketplace. Understands the web-based decision tools and guides patients through the process of narrowing choices for qualified health plans. Reviews daily census or clinic schedule and identifies any uninsured accounts that require screening or accounts with outstanding balances requiring intervention to discuss payment options. Makes all efforts to contact uninsured patients in work queues and screens them for appropriate coverage or financial assistance and/or sets up payment arrangements. Reviews uncollectible accounts such as deceased patient, bankruptcy, and return mail to send to agencies or attorney for next level of collection process. Retrieves all necessary documentation of bad debt/charity adjustments as needed for Medicare Cost Report. Assists with training new team members on job duties and processes. Serves as a trusted and knowledgeable resource for Patient Financial Advocate I and II peers. Works closely with management to help identify and report trends pertaining to work queues. Makes recommendations regarding work flows and procedures. Must maintain eligibility as a Certified Application Counselor (CAC) and comply with any licensing, certification, or other standards prescribed by the state, if applicable. Qualifications Associate#s degree or higher in related field required upon hire A combination of education, training and experience may be considered in lieu of degree. A minimum of 4 years# relevant experience required No licensure/certification/registration required Skills and Attributes Requires critical thinking skills and decisive judgment. Works under minimal supervision. Must be able to work in a stressful environment and take appropriate action. Requires in-depth skills and knowledge of the specialized concepts, practices, and procedures in the area of specialization. Utilizes in-depth knowledge of the specialization as well as business needs to recommend appropriate action. Physical Demands Standing: Occasionally Walking: Occasionally Sitting: Frequently Lifting 0-25 lbs: Rarely Lifting 25-75 lbs: Never Lifting over 75 lbs: Never Carrying 0-25 lbs: Rarely Carrying 25-75 lbs: Never Carrying over 75 lbs: Never Pushing/Pulling 0-25 lbs: Rarely Pushing/Pulling 25-75 lbs: Never Pushing/Pulling over 75 lbs: Never Climbing: Rarely Bending/Stooping: Rarely Kneeling: Rarely Crouching/Crawling: Rarely Reaching: Occasionally Talking: Frequently Hearing: Occasionally Repetitive Foot/Leg Movements: Never Repetitive Hand/Arm Movements: Frequently Keyboard Data Entry: Frequently Running: Never Vision: Depth Perception: Frequently Vision: Distinguish Color: Frequently Vision: Seeing Far: Frequently Vision: Seeing Near: Frequently Owensboro Health Core Commitments INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers. RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community. TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future. INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health. SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do. EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.