Brown University Health · 3 weeks ago
Patient Financial Advocate
Providence, RI
Full-time
Onsite
Entry, Mid Level
$20.55/hr - $33.93/hr
2+ years expBrown University Health is a healthcare organization focused on patient advocacy and financial assistance. The Patient Financial Advocate serves as a liaison between patients, their families, and the healthcare system to help resolve medical expenses and secure available resources.
EducationHealth CareMedicalUniversities
Responsibilities
Assumes an advocacy role with patients and or families and their surrogates regarding the resolution of outstanding patient accounts
Arranges and negotiates payment conditions and plans and advises and counsels patients regarding available resources from which payments can be made
Interviews patients and family members relative to their financial and dependency status or other factors, which may help promote eligibility for medical assistance or other state and federal programs
Secures legal counsel and aid for patients and families
Assists patients in obtaining documentation necessary to apply for public assistance
Maintains a continuing review of files, records and other forms of documentation on state and federal programs and regulations
Verifies patient insurance coverage (both primary and secondary) online or by telephone
Obtains and verifies coverage authorizations for scheduled and unscheduled patients, to include all sources such as Worker’s Compensation, Medicare Secondary Payer (MSP), Medicare liability, liens, etc
Establishes level of insurance benefits and expected payment for selected services
Determines the patient’s portion of payment, when applicable, and communicates to patient
Ensures referrals are obtained and confirms accuracy of the Primary Care Physician (PCP)
Reviews variety of reports and records to ensure that referrals and pre authorizations from insurance companies have been received
Confirms patient eligibility with insurance carriers and obtains visit authorizations as necessary
Contacts third party payers to obtain pre authorizations in accordance with established policies
Collaborates with physicians and mid-level providers to schedule peer-to-peer discussions to obtain prior authorization of services denied by the patient’s insurance
Coordinates all information for managing insurance denials
Collaborates with various Brown University Health personnel to resolve billing issues, prior authorizations, denials, and insurance denials/write-offs
Regularly participates in business team meetings with staff and management to make recommendations where there are perceived problems
Performs other duties as required to support the operations of the department, including, but not limited to, registering patients, scheduling appointments, scanning and faxing documents
Qualification
Required
Knowledge of third-party coverage, prior authorization process, referrals, etc
Current knowledge of state and federal resources available for needy and disabled, including familiarity with forms and documents necessary to file appeals on denied claims
Demonstrated interpersonal skills to effectively communicate with patients, family members, Brown University Health employees, third party payers and state and federal representatives and other government service agencies
Ability to operate a computer to access information and to prepare and maintain related records and reports
Possess strong medical terminology knowledge and clear knowledge of Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and registration information
Strong organizational skills to effectively plan, direct, and manage high volume of orders requiring prior authorization
Analytical skills to evaluate effectiveness of workflow, make recommendations for change and to develop, review and evaluate various records and reports
Two years progressively responsible experience in health care with a heavy emphasis in one or more of the following areas: patient care environment, health care operations, database management, prior authorizations, referrals, documentation, and departmental operations
Excellent analytical and critical thinking skills and a focus for detail is needed
Preferred
Knowledge of coding in a healthcare environment is a plus
Company
Brown University Health
Brown University Health provides an integrated academic health system offering hospital services, outpatient care and clinical education.
10001+ employees
H1B Sponsorship
Brown University Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (2)
2022 (3)
2021 (1)
Funding
Current Stage
Late StageRecent News
Providence Business News
2025-12-30
Providence Business News
2025-12-24
Providence Business News
2025-12-24
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