Job Description
Job Description
PATIENT ADVOCATE - Revenue Cycle / Clinic
Full-Time : Monday through Friday
Department : Revenue Cycle / Clinic
Location : Sharonville
Responsible To : Clinic Manager
Position Summary :
Provides financial counseling to all patients concerning anticipated patient balances for scheduled procedures at Clinic and / or ASC. Reviews patients accounts.
Position Responsibilities / Standards :
General
- Attend department, clinic or company meetings as required
- Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
- Consistently work in a positive and cooperative manner with fellow staff members.
- Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
- Attend required annual in-service programs.
- Demonstrate knowledge and understanding of all company policies and procedures. Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor
Specific Duties
Patient Financial CounselingProvide patient with counseling to help them understand their financial responsibility prior to and / or post procedure. Provide them with payment options to help them meet their financial obligations. Assist patients with account questions.
Support for Billing Call Center, Patient Account RepsInform patient of their payment options including budget plan, care credit, credit card, cash, check etc. that best fits the patient’s need.Setup new budget / payment plans.Review and process patient hardship applicationsPre-CollectPrepare estimates for all procedures, notify patient of financial responsibility, and collect payment prior to procedure.
Resolve Patient Credit balance / Unapplied payments :Review patient credit balance, distribute unapplied pre-collect to corresponding encounters and initiate request for patient refunds
Appointment PrepSelf-Pay
Large balance (ASC and Clinic)500 and 30 Days
Delinquent BudgetsBad Debt Review for overdue / delinquent patient balanceReview past due patient balance to determine accounts that need forward to external collection agency.
Review delinquent budget plan and reach out to patient to resolve issues.Act as liaison between billing personnel, physician, and patients.Additional Duties
Maintains patient confidentiality standards for both medical and financial information.Communicates patient information to assure confidentiality (includes proper documentation, discussing patient information with other staff in an appropriate environment and documents patient’s or family’s response to teaching interventions)Interacts with all patients, families, visitors and fellow employees in a mature, responsible manner to ensure a positive and professional facility environment (maintains confidentiality, fosters positive and professional environment, diffuses / resolves conflicts through communication, accepts constructive criticism and gives suggestions in a professional manner, considers age specific needs in communication.)Effective communication (internally and externally) to ensure proper handling of the patient’s account. Excellent communication skills are required when dealing with the patient or patient’s familyAbility to review all patient account information in systems and explain to patient in a concise mannerKeeps job related skills current through facility and other training programs.Participates in any facility compliance program.Participates in loss prevention by protecting company assets and maintaining a safe environment.Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor.Adheres to facility standards of business conduct.Education / Experience Required :
High school diploma or equivalent.Medical office financial counseling, collections, or billing experienceMust be self-directed and able to work with minimal direction.Must be detail oriented with good organization skills and able to maintain accuracy while meeting daily deadlines.Ability to organize time well.Effective communication skills, both oral and written.Able to work well with numbers.Effective positive interpersonal and customer relation skills via telephone and face-to-face interaction.Physical Requirements :
Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and / or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift less than 10 lbs.
