Apply on Employer Site

Renown Health · 1 month ago

Financial Resource Advocate

Reno, NV

Full-time

Onsite

Entry, Mid Level

2+ years exp

Renown Health is a healthcare organization seeking a Financial Resource Advocate to serve as the primary contact for patient reimbursement issues. The role involves providing information on treatment costs, verifying insurance eligibility, and acting as a liaison between patients and various agencies to ensure access to financial assistance.

Health CareHospitalSocial MediaWellness

Responsibilities

Serve as the patient’s primary contact for patient reimbursement issues in accordance with established policies

Provide information regarding treatment costs, out-of-pocket patient responsibility, hospital payment requirements, alternative financing and charity care programs

Determine the eligibility of patients for specific programs

Act as liaison between the patient, family, county, and governmental agencies

Expedite and provide access to the hospital through the gathering of demographic, clinical, financial, and statistical information from patients and their families

Ensure that the company will be reimbursed for services by verifying and documenting insurance eligibility, and benefit coverage using all available technology

Collect payments, initiate financial assistance and educate the public on the billing policies and procedures of the company and avenues of financial assistance

Keep abreast of all changes involving governmental and community agencies, insurance coverage, grants specific to the patient and other options/resources available

Professionally and diplomatically work with and communicate positively with patients of all ages, their families and physicians regarding financial matters and ensure system documentation reflects the correct billing information

Provide information to the patients about the appropriate government agencies or other resources that may provide the financially restricted patients with assistance based on the patient’s qualifications

Work cooperatively and professionally with hospital staff, community/outside agencies, and physician offices

Make independent decisions except in matters involving non-routine problems, requests for sick leave, vacation time, overtime and assignments for duty

Demonstrate high standards of courtesy, performance, documentation, diplomacy and respect for confidentiality

Qualification

Patient accounting experienceMedical billing experienceInsurance verificationNevada Medicaid HPE CertificationMS Office proficiencyBilingual (Spanish)Customer service experienceTyping skillsDiplomacyConfidentiality

Required

Must have working-level knowledge of the English language, including reading, writing, and speaking English

Requires 24 months of patient accounting, medical billing, general medical office or medical claims processing experience

In addition, six months of credit, insurance, governmental program experience and/or direct customer service experience is required

Nevada Medicaid Hospital Presumptive Eligibility (HPE) Certification required within 12 months of hire

Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc

Requires the ability to type 35 to 45 words per minute