Patient Financial Advocate

Patient Financial Advocate

Requisition Number: 3743
Job Title: Patient Financial Advocate
Department: UUH ISC 10R SINGLE BUS OFFICE
Reg / Temp: Regular
Employment Type: Full Time
Shift: Days
Work Schedule: Monday-Friday, 9am-6pm
Location: BUSINESS SERVICES BUILDING - 127 SOUTH 500 EAST
City: SALT LAKE CITY
State: UTAH

Job Description:
: Contacts third party payors, patients, and other responsible parties to resolve unpaid claims. Follows and maintains accounts to ensure timely reimbursement and ensures follow-up dates are determined and tracked. Some positions may use a stratified work list to follow up on accounts.
Researches and verifies accounts that are ready for collections.
Resolves claim denials or underpayments by preparing appeals in accordance with payor guidelines.
Responds to telephone calls and correspondence regarding account status, payment arrangements, and complaints or disputes.
Resolves billing or charge disputes or forwards problem accounts to the appropriate individual for resolution.
Documents actions and conversations in Epic to provide status and next action steps for other representatives.
Verifies that patient information, dates of services and coding are correct, and coordinates with Health Information Department to resolve coding discrepancies.
Coordinates with clinical departments to resolve billing issues or obtain additional claim information.
Informs patients or patient representatives of payment options and establishes payment plans.
May process patient financial statements and review for charity.
Assists in determining eligibility by contacting insurance carriers, including state assistance.
Resolves credit balances.
Determines or recommends charity or administrative write-offs.
Coordinates benefits for third party liability.

Knowledge / Skills / Abilities:

- Demonstrated potential ability to perform the essential functions as outlined above.
- Demonstrated human relations and effective communication skills.
- Demonstrated knowledge of commercial or government billing requirements, Health Care Financing Administration (HCFA) regulations, and customer service practices.
- Demonstrated knowledge of accounting principles, word processing, and spreadsheets.

Qualifications:
Required
- Four years experience with medical accounts receivable, insurance claims, or equivalency.

Preferred
- Comprehension of Medicaid eligibility guidelines and bilingual language skills may be preferred.