Position Summary/Career Interest
We currently have an opening for a Patient Financial Advisor.
Complies with Medicare/Medicaid rules and regulations.
Screens patients with financial needs and assists them in finding payment resolution for their accounts. Includes negotiating settlements, insurance, public assistance, payment arrangements, charity or bad debt.
Contacts the patient or family by phone or in person to ask them questions about sponsorship linkage. Includes health insurance, homeowners insurance, workman's compensation insurance, pre-paid packages, grants, studies, COBRA, VA benefits, Crime Victim, auto insurance, Medicaid or Medicare. This also includes following Medicare Days. If a patient is out of Medicare days and does not wish to use their Life Time Reserve days we must secure sponsorship for the remaining stay. Gathers proof of sponsorship from the patient, which includes contacting the patient's employer, insurance agent, auto insurance, police department, government case workers, internal departments, attorney or other agencies. Monitors accounts until they are secured.
Updates patient account information and patient demographic information appropriately. Reviews the account within 1 business day to assure verification and pre-certification are complete and accurate.
As needed, the patient is screened to determine possible Medicaid or Disability linkage; this includes the ability to interpret the patients H&P to determine disability. Begins the Medicaid/Disability application process if the patient links to any public assistance program. This includes extensive follow up with patients, SRS, Social Security and doctors. The goal is to complete applications prior to the patient's discharge. Refers the account to the external vendor if appropriate, and if the account meets Manager approval.
Negotiate settlements or makes payment arrangements. If unable to make payments, then screen for partial or full charity, this includes completing the financial assessment application and obtaining all necessary documents. In the event that the patient is uncooperative at any part of the screening process, their account(s) will be recommended for collections and ultimately bad debt.
Works daily worklists consisting of all unsecured accounts. This requires taking appropriate actions necessary such as phone calls and written communication. Requires using appropriate codes and timeframes. Goal is to complete worklist daily.
Assists "walk-in" customers requesting assistance. In addition, they will also take phone calls from customers who call with questions.
Processes Care Management Team referrals for Sponsorship.
Assists in both initial orientation and ongoing training of employees. Provides training to other department staff as needed.
Responsible for Point of Service collections and EPIC documentation when applicable.
Responsible for other duties or projects which are assigned by management. These may include special projects, telephone coverage, filing, copying and other duties as instructed.
High School Diploma
Bachelor's Degree in: Business
Technical/Professional Training/Degree in Accounting or Business Administration
Three years' experience in customer service and accounting functions, nursing, transplant coordination, utilization review, financial counseling, or insurance reimbursement in a Health Care setting
The University Of Kansas Hospital