Financial Solution Advisor

Summary

• Position Summary
  • Communicate to patients their insurance benefits and their financial responsibilities. Collect co-pays and deductibles and set up payment arrangements through hospital plans and policy. Work with departments to identify patients in need of Financial Solution Advisor services. Identify and contact patients unable to pay and assist patients with payment arrangements. Determines financial responsibility between third party and patient. Screen patients for Medicaid, SSI, and disability using tools provided. Make referrals for Medicaid eligibility to appropriate vendor provide information about financial assistance program and process.  Refer to third party for application if the patient passes screening and financial assistance. Process and complete financial assistance application based on decision tree and federal poverty levels. Demonstrates well-developed telephone and email etiquette and professionalism. Has interpersonal, communication and listening skills. Communicates in a clear and concise manner to patients, their families and co-workers. Has adaptability initiative. Serves as hospital cashier as well as other duties as assigned.
• Education
  • High School Diploma - Preferred
• Experience
  • 2-3 Years Healthcare Revenue Cycle - Required
  • Requirement is a minimum of 2-3 years experience in hospital patient accounts. Have knowledge of all aspects of the departmental process from registration to billing.
• License & Certification
  • None Required
• Core Job Functions
  • Accurately processes requests for Financial Assistance according to department guidelines. Appropriately and accurately explains process to patients so they understand what to expect when they apply. Ensures complete application is turned in and scanned into Atlas with supporting documentation.  If additional documentation is needed, follows up with patient until received or patient is non-compliant.          
  • Uses available tools to identify patients needing further review such as those with no insurance, insufficient coverage, Medicare exhausted days, long stays, old outstanding balances, and limited benefit plans. Follows up on open issues above to ensure the loop is closed.            
  • Reviews eligibility and benefit information already obtained to determine patient responsibility amounts. Verifies insurance coverage and benefits when not already present. Explains coverage to patient and collects amounts due. Establishes payment arrangement when needed and collects the first payment.        
  • Accurately explains financial policy and methods of payment. Politely assesses the need for a Medicaid eligibility referral. Furnishes Financial Assistance program information and assists with completion of forms if requested.
  • Performs Medicaid Newborn process according to department guidelines and within specified time frame. Works with other departments seamlessly to ensure the completion of this process.         
  • Accurately receives and receipts patient payments. Provides petty cash for Hospital co-workers according to policy. Assists patients with questions about their accounts. Completes daily deposit.              
  • Performs clerical and clinical duties as assigned.