Position Title

Patient Financial Advisor Lead

Westwood Medical Pavilion - West

Position Summary / Career Interest:The Patient Financial Advisor Lead is responsible assists team members on workflow and performance by following the financial policy and procedures for the hospital enterprise. This position provides assistance & guidance to front line team members and assists with customer service issues. The Patient Financial Advisor Lead follows the enterprise financial clearance and financial assistance policy and procedures. This position maintains productivity, quality and customer service requirements according to department policy and procedure.

Responsibilities and Essential Job Functions

Provide initial and ongoing training of employees. Sees that new employees are oriented to department and shift policies and procedures, and that all employees in appropriate classifications are cross-trained to provide relief for absenteeism.Assists Supervisor with monitoring daily Work Queues consisting of all unsecured accounts. Follows up with team members to meet Work Queue goals.Supports Patient Financial Advisors for questions and answers, directing them to proper policy and procedure or resources to accomplish the goals of the Patient Advisor Team.Handles escalated patient concerns and complex financial clearance concerns.Reports out on weekly high dollar meeting.Coordinates complex financial clearance cases with case management.Oversees referrals to vendor and monitors Patient Financial Advisors Work Queues.Contacts the patient or family by phone or in person to ask them questions about sponsorship linkage. Includes health insurance, homeowner’s insurance, workman’s compensation insurance, pre-paid packages, grants, studies, COBRA, VA benefits, Crime Victim, auto insurance, Medicaid or Medicare. Complies with Medicare/Medicaid rules and regulations.Negotiates settlements or makes payment arrangements. If unable to make payments, then screens for partial or full charity, this includes completing the financial assessment application and obtaining all necessary documents. If 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 WQS consisting of all unsecured accounts. Requires taking appropriate actions necessary such as phone calls and written communication and using appropriate codes and time frames.Serves as Liaison between the patient and family members and other health care personnel. Works with team members when patient / family interactions requiring financial support.Leads the team in the absence of the supervisor/manager or upon assignment.Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

High School Graduate or GED.5 or more years in financial advising, claims processing, benefits explanation, cost estimates, benefit pricing, or patient accounting rep experience.

Preferred Education and Experience

Associates Degree in business or a related field of study from an accredited college or university.3 or more years of experience in Epic.3 or more years of experience in CPT-4 and HCPCS coding.3 or more years of working with CMS regulations.

Knowledge Requirements

Knowledge of Insurance (Commercial and Government).Knowledge of payor websites.Knowledge of Transplant (BMT and/or Solid).

Time Type:Full time

Job Requisition ID:R-40469

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.

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