INTERNAL LAKELAND ASSOCIATES - Please apply through Workday. External careers site is for Non Lakeland Associates only
Benefit eligible positions are those listed with 24 hours per week or more.Job Details
Location:St. Joseph, MI
Department:Patient Accounts SBO
Hours:PRN Job Summary
The Patient Financial Advocate serves to help all patients—especially those who are uninsured, underinsured, and have low incomes—assess and ultimately resolve their financial situations. This includes providing an estimated cost for services, establishing payment plans and other financial arrangements, determining patients' eligibility for hospital-sponsored charity care and external financial assistance, and collecting patients' remaining estimated balances at point of service. All communications are conducted in a manner that will result in positive patient relations and prompt reimbursement for the services provided by Lakeland Health.• Meet with patients on one-on-one basis to discuss the cost of hospital services and patients' current financial situation, obtaining all pertinent demographic and financial data to ensure resolution of account. During the interview process, educates patients on applicable policies such as point of service collections, payment plans, and financial assistance. Obtain sufficient information from patient that enables patient financial advocate and other appropriate Lakeland Health staff assess patients' eligibility for hospital-sponsored financial assistance (charity care). Use patient information and Lakeland Health guidelines to calculate the amount of financial assistance (charity care) patients ultimately receive. • If necessary, calculate patients' remaining balances, and then discusses and finalizes the method of resolving patients' balances through point of service collections, payment plans, or other arrangements per established Lakeland Health policy. Assist patients in completing all applications required to receive external financial assistance and/or Lakeland Health financial assistance (charity care), and follows up with potential sources of aid until financial assistance is either received or denied. When necessary, call patients with outstanding balances to review account information, examine patients' eligibility for financial assistance, and secure payment arrangements. • Collect money owed from patients to ensure timely recovery of outstanding accounts receivable prior to admission and/or prior to discharge. Collects advanced down payments on self-pay patients, and coordinates with insurance verification staff to ensure proper collection of co-pays and deductibles from insured patients. If appropriate, request payment from patients at point of service—including during the pre-admission stage, at admission, and after service but prior to patient discharge. • Conduct detailed discussion with patients, obtains information, and completes required tasks to determine patients' eligibility for Medicaid and other federal, state, and local government or private sources as appropriate. Based on a risk assessment, collect monies from those patients who have the ability to pay. • Review and ensure the accuracy of patients' insurance coverage information, determining primary payer when coordination of benefits is required. • Work in conjunction with the state social worker or on-site eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients' eligibility. • Maintain knowledge of requirements and guidelines for hospital-sponsored financial assistance (charity care), as well as the availability of financial assistance from external sources • Continue to stay informed of any statutes and regulations that could affect the collection of receivables (i.e. insurance company changes, collection regulations, etc.) • Maintain assigned Work queues / Department Appointment Reports. • Perform other duties as assigned. • Committed to the continuous improvement of the patient experience which includes patient safety, quality of care and excellent service. Adhere to the organization's published values. Requirements
Education:Associates: Related Field (Required), Bachelors: Related Field
Skills:Additional Job Details
Physical Requirements:Continuously: Sitting, Lifting/exerting force: 0-10 lbs., Use of hands to grasp/handle/feel, Vision, Vision-color, Hearing, Speaking
Frequently: Walking, Lifting/exerting force: 11-25 lbs.
Occasionally: Standing, Lifting/exerting force: 26-51 lbs., Stoop/kneel/crouch/crawl, Bending, Squatting, Climb/balance, Operating a motor vehicle• Strong computer skills, including but not limited to Microsoft® Word and Excel
• Data entry, typing, filing and organization skills required.
• Experience discussing and resolving financial situations with patients
• Comfortable processing and handling cash and other means of patient payment
• Excellent organizational, time management, and customer service skills
• Abilities: Ability to work extended hours beyond normal work schedule to include, but not limited to, evenings, weekends, extended shifts and/or extra shifts, various locations, sometimes on short notice.
• Environmental Conditions: Potential exposure to fumes, dust, gases, and odors. Frequent changes in temperature may occur. Possibility of exposure to communicable diseases.
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