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St. Charles Health System · 1 month ago

Financial Advocate

Bend, OR

Full-time

Hybrid

New Grad, Entry Level

$21.86/hr - $29.52/hr

St. Charles Health System is a comprehensive cancer center that provides holistic care to patients. The Cancer Center Financial Advocate assists patients in understanding their financial responsibilities regarding treatment and provides support with insurance verification, estimates, and assistance programs.

Health CareMedicalNon Profit

Responsibilities

Verifies patient insurance eligibility and coverage

Establishes co-pay, deductible, and co-insurance amounts, deposits and max out of pocket in accordance with St. Charles Health System credit and collection guidelines

Maintains working knowledge of Medicare, Medicaid, Commercial and HMO payors

Remains current on all insurance company changes/requirements applying authorization requirements

Provides estimates of cost for Cancer Center procedures

Obtains insurance preauthorization for services ordered by Cancer Center providers

Awareness of CPT and ICD-9/10 as needed to provide/perform authorization services

Identifies and assist eligible patients in applying for external and internal patient assistance programs, i.e. free drug, drug replacement and grant programs

Refers patients to SCHC financial assistance programs as needed

Provide patients with applications for SCHC Financial Assistance Program when appropriate

Assists physician in completing Physician Attestation forms to facilitate application priority/determination

Work with pharmacist and other staff to receive, document and inventory patient drugs received through assistance plans

Assists with review, tracking and correction of denied claims

Track, manage and coordinate patients financial services throughout treatment course

Monitor and track financial impact of assistance programs

Refers patients to St. Charles Health System programs as needed, including social work, nutrition, complimentary therapies, financial services, ACS programs

Demonstrates skill in analytical problem solving and the ability to solve math problems with accuracy

Knowledge of organizational structure, workflow, and operating procedures

May provide coverage for other department areas as needed

Supports the vision, mission and values of the organization in all respects

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change

Provides and maintains a safe environment for caregivers, patients and guests

Conducts all activities with the highest standards of professionalism and confidentiality

Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate

May perform additional duties of similar complexity within the organization, as required or assigned

Qualification

Insurance verificationPreauthorizationFinancial assistance programsMedical billing experienceCPT/ICD codesCustomer service skillsAnalytical problem solvingMulti-tasking abilityTeamwork skillsCommunication skills