POSITION SUMMARY

The Patient Financial Advocate is responsible for establishing and maintaining a relationship with patients while ensuring that patients receiving services from ProMedica Health System have been properly screened for financial responsibility and are made aware of available resources for financial assistance and payer sources such as Medicaid and Cobra.

This position assists patients at the bedside or assists with pre-service scheduled service at one of our ProMedica hospitals, offering in-person financial assessment, collection of payment and education. The Patient Financial Advocate ensures proper follow-up, documentation, and adherence to ProMedica’s policies and procedures. The Patient Financial Advocate communicates and works with multiple departments such as Registration, Utilization Management, Care Navigators, Customer Service, and Billing to ensure our uninsured patients have been properly assessed for financial programs and discounts while inhouse or for schedule services.

ACCOUNTABILITIES

*All duties listed below are essential unless noted otherwise*

1. Keep ProMedica’s mission, “To improve your health and well-being,” as the foundation of employment.

2. Demonstrate personally and foster a work environment that includes ProMedica’s Values, Compassion, Innovation, Teamwork, and Excellence.

3. Provides excellent service and timely support to ensure quality of patient care and experience.

4. Responsible for daily management of patient interviews to assess patient liability, create estimates, and completion of financial screening and counseling for payment options.

5. Provides patient financial education, responsibilities, estimates prior to service, determines charity care, third party eligibility, and point-of-service collections.

6. Assist patients in completing the application process for any payer source including but not limited to Medicaid, Cobra, and all other public funding resources (excluding Marketplace and Social Security Disability), to ensure applications are complete, deadlines are met, and the certification process is expedited.

7. Coordinate with external vendors as appropriate to ensure eligibility for possible insurance or government programs has been thoroughly reviewed and pursued.

8. Identify other options to resolve financial obligation that results in financial clearance for services.

9. Consistently communicates issues and helps to review and implement people, process, and technology improvement as appropriate.

10. Other duties as assigned.