Nebraska Methodist Health System · 19 hours ago
Pre-Access Advocate
Omaha, NE
Full-time
Onsite
Entry, Mid Level
2+ years expNebraska Methodist Health System focuses on providing exceptional care to the communities they serve. The Pre-Access Advocate will serve as an advocate for clinic patients, ensuring they are educated on the estimated cost of care and responsible for collecting payments, while also performing authorizations efficiently to ensure timely care.
Health CareHospitalMedicalNon Profit
Responsibilities
Serve as an advocate for new patients to Methodist Physicians Clinic
Creates patient estimates
Speaks directly with each patient to review estimated cost of care and payment policies
Assists with FMLA, Disability or other forms in a timely manner
Verify benefits and obtains authorization using electronic sources to improve efficiency in obtaining authorizations ensuring timely care is provided
Document medical necessity checking outcome
Generate waiver / Advanced Beneficiary Notice (ABN) if medical necessity checking does not meet payer criteria, patient is seeking care for a non-covered benefit, or a self-pay patient
Assists, counsels, and suggests problem solving techniques to patients as they relate to prompt payment of accounts by following department policies to ensure timely resolution of account
Processes paperwork by reviewing accounts that have filed bankruptcy then forwards to the immediate supervisor for adjustment
Provides patient assistance when needed regarding resolving billing issues, refund, or collection problems, insurance questions including Medicare/Medicaid by following established policies for account resolution and patient satisfaction
Assists patients with community resources when needed. Works with drug companies when needed to secure financial assistance for patients
Assists patients with Every Women Matters
Manages patient accounts. Responsible for the proper documentation on patient accounts regarding financial arrangements, insurance coverage, special instructions from physicians, and other pertinent information needed to ensure proper handling of the account
Verifies insurance or determine if self-pay
Set up account and payment plans. Monitors payments
Complete work associated with insurance change during
Responsible for the daily deposit and daily return mail
Open safe in am and distribute bags. Secure bags at end of day in safe
Prepare daily deposit for pick up
Reviews daily return mail by checking status of accounts on computer and determines any action to be taken using appropriate skip tracing techniques to facilitate timely billing of patients
Maintains patient confidentiality within the area by following office procedures to ensure all information is correct
Effectively communicates with other department personnel, nurses, physicians, attorneys, insurance companies, and all other parties, by phone or mail, to maintain professional handling of all situations in relation to patients' accounts
Qualification
Required
High school diploma or General Educational Development (GED) required
2 years of healthcare experience required, including electronic medical required
Knowledge of Current Procedural Terminology (CPT) and International Classification of Disease (ICD) codes
Skill using computers and office equipment
Skill in organizing and prioritizing work
Extensive customer contact
Skilled in time management
Skilled in oral and written communication
Ability to work under limited supervision and stressful conditions
Ability to adhere to all workplace and safety requirements, regulations, standards, and practices
Ability to travel to rotating work sites
Preferred
Post-Secondary education in a healthcare fiend (e.g. CNA, CMA, etc.) preferred
Registration, insurance, or prior-authorization experience preferred
OB/GYN office experience preferred
Knowledge of Insurance billing, payment collection practice and revenue cycle, preferred
Benefits
Competitive pay
Excellent benefits
Company
Nebraska Methodist Health System
Our mission is simple: improving the health of our communities by the way we care, educate and innovate.
5001-10000 employees
H1B Sponsorship
Nebraska Methodist Health System 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 (9)
2024 (6)
2023 (8)
2022 (10)
2021 (2)
2020 (7)
Funding
Current Stage
Late StageLeadership Team
Steve Goeser
President and CEO
Jeffrey (Jeff) Francis
VP of Finance & CFO
Recent News
bloomberglaw.com
2024-11-05
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