oracle
Patient Financial Advisor
FMOLHS
Monroe, USA
Junior · 1+ years experience
Onsite
Discovered 3 weeks ago
Full Job Posting
Qualifications
- Education: Bachelor's Degree
- Experience: 1 year of experience in financial services, insurance, or billing/patient accounts
Responsibilities
- Customer Service
- Educates, screens, and assists patients who do not have valid insurance coverage to enroll in third-party eligibility programs. Interviews qualified patients for potential funding sources, which may include Medicaid, financial assistance programs (FAP), and/or alternative funding sources. Performs all associated functions timely and accurately.
- Educates patient during interview on applicable policies such as point-of-service collection, payment options, and financial assistance. Performs follow up with patient and the Division of Medicaid to ensure appropriate completion of applications and submission of all required documentation. Stays informed on applicable statues, regulations, and Office of Compliance policies that affect assigned tasks.
- Submits Medicaid applications timely and accurately.
- Meets with patients who present as self-pay to obtain valid insurance coverage, if applicable, and/or review prior account information to obtain insurance coverage. Notifies departments of information and updates patient accounts.
- Consistently interacts with sensitivity to patients/their families and is responsive to individual needs. Exhibits excellent customer service and communications skills, with the ability to effectively calm patients and be able to deal with distressed and/or agitated patients and their families.
- Serves as billing office customer service support in assisting patients/guarantors and employees with billing inquiries; to include payer benefits, EOB review, collections and establishing payment plans in-house or vendor referral.
- Serves as support to patients and their family members to assure customers have access to all available funding.
- Critical Thinking
- Analyzes patient financial condition based on interview and inputs into financial counseling system. Documents all calls, correspondence, and related activities to each patient's account in the correct place using appropriate tools and language. Updates patient accounting information systems.
- Responsible for calculating patient out-of-pocket amounts due and collecting on those amounts for unscheduled inpatient and observation admits having insurance coverage. Utilizes effective critical thinking skills and professional approach when handling these collections situations.
- Maintain complete records of all patients applying for indigent or financial assistance to include the application, proof of income, the acceptance/denial letter, and any other applicable documentation.
- Verifies and assures all accounts are ready for routing for approval for charity or billing with adequate supporting documentation within the established time frames.
- Demonstrates ability to work independently, be attentive to detail, and ensure work is completed timely and accurately. Works in self-directed manner and requires minimal supervision.
- Demonstrates ability to manage multiple and simultaneous responsibilities and to prioritize duties/tasks.
- Identifies trends that may indicate problem areas and alerts Supervisor/Manager/Director of such. Plays key role in initiating solutions.
- Interpersonal Relations
- Work closely with Case Management (UR) on a daily basis in regard to notification of active Medicaid coverage, authorizations, and changes to Healthy Louisiana Plans; obtains needed authorization and forwards to Utilization Management when received.
- Maintains daily contact with Utilization Management, Business Office, patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPOs, patients, patient families, physician offices and other outside entities.
- Actively participates in and encourages other to utilize creative and innovative approaches to accomplish tasks.
- Other Duties as Assigned
- Performs other duties as assigned.
- Customer Service Educates, screens, and assists patients who do not have valid insurance coverage to enroll in third-party eligibility programs. Interviews qualified patients for potential funding sources, which may include Medicaid, financial assistance programs (FAP), and/or alternative funding sources. Performs all associated functions timely and accurately. Educates patient during interview on applicable policies such as point-of-service collection, payment options, and financial assistance.
- Critical Thinking Analyzes patient financial condition based on interview and inputs into financial counseling system. Documents all calls, correspondence, and related activities to each patient's account in the correct place using appropriate tools and language. Updates patient accounting information systems. Responsible for calculating patient out-of-pocket amounts due and collecting on those amounts for unscheduled inpatient and observation admits having insurance coverage. Utilizes effective
- Interpersonal Relations Work closely with Case Management (UR) on a daily basis in regard to notification of active Medicaid coverage, authorizations, and changes to Healthy Louisiana Plans; obtains needed authorization and forwards to Utilization Management when received. Maintains daily contact with Utilization Management, Business Office, patient Registration, Medical Records, Ancillary departments, various third-party agencies, HMO/PPOs, patients, patient families, physician offices and othe
- Other Duties as Assigned Performs other duties as assigned.
About FMOLHS
Hospitals & Health Systems13000 employeesFounded 1984
Non-profit Catholic healthcare system serving Louisiana and Mississippi.
Visit company websiteApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at FMOLHS
Registered Nurse - Endoscopy (Full-Time, Days)
Lafayette, USA
Discovered Today
Nurse Technician (RN Student)- Oncology
Baton Rouge, USA
Discovered Today
Phlebotomist 1 - Full Time - Day Shift
Baton Rouge, USA
Discovered Today
Supervisor Nursing- Telemetry HV7
Baton Rouge, USA
Discovered Today
EPIC Interface Analyst 2
Baton Rouge, USA
Discovered Today
Patient Access Representative, Internal Medicine Clinic
Lafayette, USA
Discovered Today
Medical Assistant, SOLA Pediatrics (Part Time Days)
Lafayette, USA
Discovered Today
IS PC Technician 1 UC
Baton Rouge, USA
Discovered Today