PATIENT FINANCIAL ADVOCATE I

PATIENT FINANCIAL ADVOCATE I

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.
• Must maintain eligibility as a Certified Application Counselor (CAC) and comply with any licensing, certification, or other standards prescribed by the state, if applicable.
• Assists with processing patient admissions, transfers, and discharges.
• Assembles and maintains patient records and charts.
• Confirms eligibility and verifies insurance benefits, referral, and authorization for identified patient registrations.
• Answers patients’ questions on patient responsible portions, co-pays, deductibles, write-offs, etc.
• Resolves patient complaints or explains why certain services are not covered.
• Handles patient' private funds; bank accounts for residents and allocation of private spending funds.
• Responsible for self-pay accounts.
• Completes Representative Payee report annually.
• Compiles May 350 Medicaid coverage.
• Manages 360 Care insurance plans for podiatry, audiology, dental, and vision.

Qualifications

Skills and Attributes

Physical Demands

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.

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