Monument Health ยท 4 months ago
Patient Financial Advocate I
Rapid City, SD USA
Full-time
Onsite
New Grad, Entry Level
$18.62/hr - $21.40/hrMonument Health is a healthcare organization seeking a Patient Financial Advocate I. This role involves managing the financial aspects of patient care, including insurance coverage counseling, payment arrangements, and assisting patients with understanding their financial responsibilities related to healthcare services.
Health CareHospitalNon ProfitRehabilitation
Responsibilities
Performs and completes the workflows of Pre-Arrival patient financial management functions within Revenue Cycle which may include but are not limited to: Financial Clearance (Pre-Registration, Pre-Arrival Insurance Benefit Management, and Authorization/Referral/Benefit Review); Patient Admission and Registration Support (Inpatient, Outpatient, ED Registration, Insurance verification); Financial Counseling (Price Estimations, Payment Planning and Arrangement, Fund Finding and Resource eligibility, Charity Care Review); Customer Service (Patient collections, Customer service follow-up, Third Party Insurance Follow up, Patient balance resolution)
Ensures the Pre-Arrival patient financial management and related financial clearance process is completed timely and accurately per policy and standard work processes and guidelines
Communicate in person and over the phone with all Monument Health patients and families across the organization despite service or specialty need to identify and understand financial, social, and medical requisites necessary to facilitate the Pre-Arrival patient financial management functions and workflows
Gather all relevant information required to process and timely complete financial assistance requests, verifies that all new patient forms are complete and signed, maintains complete and accurate documentation of account transactions and conversations
Works collaboratively with patient and internal and external customers of Monument Health to identify long term resources for funding of healthcare related services in getting applications promptly completed and approved
Counsels patients on all out of pocket liabilities including pre and post service balances
Creates accurate cost of care price estimations and distributes timely according to regulatory requirements and Monument Health policy and standard work expectations
Calculates and collects patient financial liability including preservice deposits, co-payments, coinsurance, and deductible
Establishes appropriate payment arrangements before and at the time of visit. Accepts payment and generates receipts
Communicates financial clearance status and applicable financial decisions with all appropriate parties including the patient, family, referring clinicians, Monument Health clinicians, and appropriate operational leadership
Demonstrates application of follow up processes necessary to ensure prompt, appropriate reimbursement of services and supplies billed to third parties and appropriate payment of services and supplies due from patients
Ensures quality services in self-pay collections is given in accordance to applicable policies, procedures and guidelines. Recognizes accounts that are repeatedly delinquent or otherwise in the absence of acceptable payment terms and regularly recommends placement of account for further collection activity, including legal action, as evidenced by documentation, observation and feedback
Practices safe and secure cash handling practices per Monument Health policy and standard practice guidelines assuring all physical safeguards and other internal controls are maintained
Demonstrates a clear understanding of core business structures, systems, best practices, trends, and technologies within the industry
Understands system and business practice concepts and work approaches used to systematically pursue ever-higher levels of performance. Understands or demonstrates understanding of strategic planning, research, and development and analysis processes Further understands or demonstrates understanding that high-performance work approaches are necessary to align the organization's efforts, as evidenced by improved customer relations' focus, quality initiatives, financial performance, and operational performance
Communicates effectively the pertinent information regarding the financial clearance processes and reimbursement activities with all Monument Health internal and external customers to promote a positive work environment
Actively participates in seeking and developing other educational and skillset opportunities to assist with ongoing personal growth and development and career goals
All other duties as assigned
Qualification
Required
Ability to plan, schedule and organize numerous tasks that directly impact the financial health of both the patient and the organization
Ability to communicate in person and over the phone with all Monument Health patients and families across the organization
Ability to gather all relevant information required to process and timely complete financial assistance requests
Ability to work collaboratively with patient and internal and external customers of Monument Health
Ability to counsel patients on all out of pocket liabilities including pre and post service balances
Ability to create accurate cost of care price estimations and distribute timely according to regulatory requirements
Ability to calculate and collect patient financial liability including preservice deposits, co-payments, coinsurance, and deductible
Ability to establish appropriate payment arrangements before and at the time of visit
Ability to communicate financial clearance status and applicable financial decisions with all appropriate parties
Ability to ensure quality services in self-pay collections in accordance to applicable policies, procedures and guidelines
Ability to practice safe and secure cash handling practices per Monument Health policy and standard practice guidelines
Understanding of core business structures, systems, best practices, trends, and technologies within the industry
Understanding of system and business practice concepts and work approaches used to systematically pursue ever-higher levels of performance
Ability to communicate effectively the pertinent information regarding the financial clearance processes and reimbursement activities
Active participation in seeking and developing other educational and skillset opportunities
Benefits
Supportive work culture
Medical, Vision and Dental Coverage
Retirement Plans, Health Savings Account, and Flexible Spending Account
Instant pay is available for qualifying positions
Paid Time Off Accrual Bank
Opportunities for growth and advancement
Tuition assistance/reimbursement
Excellent pay differentials on qualifying positions (extra pay for working evening, nights or weekends)
Flexible scheduling
Company
Monument Health
Monument Health is a community-based health care system that provides a wide range of treatment and medical services to various patients.
Founded in 1973
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Paulette Davidson, FACHE, CMPE
President & CEO
Mark Thompson
CFO
Recent News
2025-05-29
The Business Times
2025-03-01
Company data provided by crunchbase