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Patient Financial Advocate
Department: Admitting Lgy
Location: Children’s Health Hospital- Plano
Shift: Full-time Monday through Friday from 8:30 am to 5:00 pm
Job Type: On-Site
Why Children’s Health?
At Children’s Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.
Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.
Our dedication to promoting children’s health extends beyond our organization and encompasses the broader community. Together, we can make a significant difference in the lives of children and contribute to a brighter and healthier future for all.
Summary:
Responsible for the resolution of funding issues for insured or underinsured hospital patients; assisting with the timely screening and processing of potential recipients of financial assistance programs in order to minimize non-resourced accounts and for the provision of routine patient access activity for ancillary, diagnostic, surgical and emergency services as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction
Responsibilities:
• Performs routine financial counseling activity including screening for government programs and financial assistance, payment arrangements, processing point of service payments, obtaining signatures for required paperwork, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
• Performs routine patient access transactions including coverage eligibility, insurance verification, discount eligibility, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
• Resolves routine to complex patient issues and assist with questions on insurance coverage, discount eligibility, treatment costs and reimbursement
• Demonstrates the components of the Children’s Health System Vision, Mission and The Children’s Way Values
• Demonstrates compliance with performance standards, guidelines, regulations and policies and procedures and third-party contracts
• Provides significant input for and participates in team-oriented process improvement initiatives for the department and organization
• Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards
• Performs other duties as assigned
How You’ll Be Successful:
Work Experience
• At least 2 years customer service experience or two years of healthcare experience including Patient Access operations activities Req
• Knowledge of general procedures and guidelines used by health insurance companies, government agencies, employer benefit departments and internal departments as they relate to registration Req
• Excellent mathematical skills, computer skills, Microsoft applications and word processing programs skills and minimum of 40 words per minute Req
• Ability to develop and maintain productive working relationships to fully integrate within a team Req
• Proficient in English, written and verbal, communication skills Req
Education
• High school diploma or equivalent Req
• Two-year Associate’s degree or equivalent experience Pref
Licenses and Certifications
• National Association of Healthcare Access Management CHAA Certification Pref
• Healthcare Financial Management Association CRCR Certification Pref
A Place Where You Belong
We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues. We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children’s Health a place where everyone can contribute.
Holistic Benefits – How We’ll Care for You:
· Employee portion of medical plan premiums are covered after 3 years.
· 4%-10% employee savings plan match based on tenure
· Paid Parental Leave (up to 12 weeks)
· Caregiver Leave
· Adoption and surrogacy reimbursement >
As an equal opportunity employer, Children’s Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class. This applies to all aspects of the employer-employee relationship including but not limited to recruitment, hiring, promotion, transfer pay, training, discipline, workforce adjustments, termination, employee benefits, and any other employment-related activity.
