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Eskenazi Health · 1 month ago

Patient Financial Advocate (3171 Meridian)

Indianapolis, IN, US, 46208

Full-time

Onsite

Entry Level

2+ years exp

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County, providing a comprehensive range of primary and specialty care services. The Patient Financial Advocate (PFA) is responsible for assisting patients with financial advocacy, registration, and securing maximum reimbursement through various state and federal programs.

Health Care

Responsibilities

Subject Matter Expert in Registration and Financial Counseling

Screen patients and determine potential eligibility for State Medicaid (MAGI, LTC, and Federal Disability programs (SSI/SSDI) and completes the application process

Complete registration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and Coordination of Benefits

Deliver education in regards to explaining affordability programs, qualified health plans, essential health benefits, and rights when using insurance

Consult and provide patients with an affordable payment plan option while adhering to the Eskenazi Health payment plan guidelines

Maintains an understanding and remains current with Eskenazi Health's Financial Assistance Policy and procedures

Calculate and provide estimates to patients for services provided by Eskenazi Health

Follow up with the state on cases pending eligibility and/or contacting patient for additional information on pending accounts requiring more than originally provided

Add and term coverage properly, ensuring that billing is initiated when appropriate

Verifies information on appropriate accounts to determine insurance coordination of benefits

Assists with special projects; audits, reporting, research, etc

Maintains departmental and/or individual work queues and reports as required

Explains/answers patient billing inquiries and interprets statement data to resolve accounts

Documents patient account notes for all interactions/transactions in EPIC and/or Financial Assistance program

Maintains productivity and quality standards set forth by the department

Qualification

Financial CounselingPatient RegistrationInsurance VerificationHealthcare Business InsightsIndiana Navigators CertificationCultural CompetenceCommunication Skills