Aurora Health Care · 4 hours ago
Financial Advocate - On Site
Milwaukee, WI
Full-time
Onsite
Entry Level
2+ years expAurora Health Care is seeking a Financial Advocate to assist patients with understanding their financial responsibilities related to healthcare services. The role involves calculating personalized estimates, communicating patient liabilities, and coordinating financial assistance programs for uninsured patients.
Health Care
Responsibilities
Calculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service
Communicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care. Explains how non-covered and out-of-network services factor into the out-of-pocket cost
Requests upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances. Establishes payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment
Interviews uninsured patients to assess for qualifying financial needs. Identifies available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s). Continues follow-up efforts to obtain a funding source for patient’s health services
Initiates credit scoring to determine each patient’s eligibility for Medicaid, hospital-sponsored charity care, and other programs through a comprehensive patient interview
Works in conjunction with state social worker and/or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients’ eligibility
Demonstrates working knowledge of insurance benefits, insurance companies, and Marketplace insurance options, and stays informed of other payer sources entering the markets
Educates physician office/patient on the organization’s applicable policies such as Financial Assistance Policy, Patient Financial Responsibility, Non-Covered Services, and Deferral of Care. Coordinates with provider office to determine scheduling options based on the need to secure funding and clarify patient’s financial responsibility
Stays current on regulations and eligibility requirements for government funding, especially Medicare and Medicaid. Understands and complies with all internal charity care policies and processes. Understands, complies with, and can articulate federal regulations around 501R. Performs in a HIPAA-compliant manner with all pertinent patient interviews, including management of demographic data, topics discussed, and actions taken
Collaborates with peers in the operational flow for uninsured patients or patients that are concerned about costs for upcoming services. Serves consumers in various settings, including virtual, bedside, Emergency Department room, clinic exam room, Urgent Care, consult space, or a Financial Resource Specialist office
Qualification
Required
High School Graduate, or
Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED)
Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting
Ability to communicate clearly and proactively to management about issues involving customer service and process improvement opportunities
Ability to articulate explanations of HIPAA and EMTALA regulations as they relate to all patient interactions within the operational flow involving the Financial Advocate, either virtually or in person
Has solid knowledge of how various types of insurances operate related to denials and appeals processes
Basic medical coding knowledge
Understanding of insurances, billing and denials
Ability to use a combination of scripted notes and clear, written communication when documenting in patients' accounts
This position requires travel, therefore, will be exposed to weather and road conditions
Operates all equipment necessary to perform the job
Exposed to a normal office environment
Must be able to sit a majority of the workday
Occasionally lift up to 10 lbs
Company
Aurora Health Care
At Aurora Health Care, helping people live well is what drives us – it’s our purpose and what we do every day.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Kristie Geil DNP, RN, CENP
Area VP/CNO Aurora Health Care, South Wisconsin, VP/CNO Aurora Medical Center Kenosha
Carla LaFever
Chief Clinical Services Officer
Recent News
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