Patient Financial Advocate Supervisor

Patient Financial Advocate Supervisor

21 Sep 2024
Wyoming, Sheridan 00000 Sheridan USA

Patient Financial Advocate Supervisor

Vacancy expired!

ABOUT SHERIDAN MEMORIAL HOSPITAL

Sheridan Memorial Hospital is a progressive, state-of-the-art facility nestled beneath the Big Horn Mountains in beautiful Northeast Wyoming. Founded over 100 years ago, Sheridan Memorial is licensed for 88 beds with over 60 physicians who provide primary medical care and specialty care in more than 15 areas. We are proud of our more than 700 employees who provide personalized, patient-centered care in a healing environment. When people think of excellent healthcare, they think of Sheridan.

JOB SUMMARY

Service excellence and a culture of kindness are priorities for Sheridan Memorial Hospital. The Patient Financial Advocate is responsible for supporting Sheridan Memorial Hospital’s Revenue Cycle Team through leading staff to provide accurate and compassionate prior authorizations, counseling to the patient regarding insurance benefits, providing education on point of service collections, recommend alternative sources of payment and financial assistance while providing a 5-star experience so the patient and provider can focus on healthcare.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

  • Schedules and supervises the work of assigned staff to achieve the business goals and ensure smooth flow of the department. Coordinates employee to workload ratios to accomplish the most effective use of resources. Sets work goals for team members and monitors measurable outcomes in accuracy, timeliness, productivity and service quality.
  • Provides leadership, work goals and coaching for all staff. Conducts performance reviews of assigned staff. Works with the team to achieve designated goals.
  • Counsels patients regarding insurance benefits and recommends alternative sources of payment and financial assistance by explaining responsibilities for services received, payment options and collections procedures to patients and parties responsible for payment.
  • Demonstrates the ability to assertively pursue necessary information and to function independently to secure financial resolution on accounts.
  • Contacts insurance carriers or other sources, including but not limited to pharmaceutical companies and pharmacies and acts as an advocate for the patient including seeking prior authorization.
  • Initiates process for collecting prepays due at time of service, performs follow-up to insure maximum collection is achieved.
  • Responsible for financially clearing patients within Sheridan Memorial Hospital and Sheridan Memorial Clinics to obtain cash payment or determine eligibility for various government programs.
  • Maintains knowledge of revenue cycle operations, third party reimbursement, local/state/federal regulations and medical terminology.
  • Conducts all activities with knowledge and understanding of Sheridan Memorial Hospital's mission and values, regulatory compliance requirements, payer requirements, HIPAA privacy and security requirements, the overall revenue cycle procedures and the hospital's policies.
  • Ability to educate patient on financial obligations not limited to insurance co-pays, deductibles, co-insurances, and out of pocket expenses for point of service collections.
  • Helps to maintain a professional atmosphere for patients, family members and staff.
  • Additional duties as assigned.

MINIMUM REQUIREMENTS

  • Bachelor’s degree from an accredited college or university or equivalent combination education/experience, preferred.
  • Ability to foster effective working relationships and build consensus.
  • Ability to mediate and resolve complex problems and issues.
  • Knowledge of CPT, HCPCS, ICD-10 codes and medical terminology.
  • Minimum, 3 years previous healthcare registration, billing and collections, prior authorization, and/or financial counseling.
  • Certified Application Counselor preferred and required within six months of hire.
  • Knowledge of medical insurances, EMTALA regulations, hospital billing and collection process.
  • Knowledge of principles and practices of organization, administration, fiscal and personnel management.
  • Ability to prioritize and perform multiple tasks with many interruptions.


Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, age, sex, national origin, disability or protected veteran status. If you would like more information about your EEO rights as an applicant under the law, please click here.

Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.

Pre-employment drug and alcohol screening is required.

Job Details

  • ID
    JC2722081
  • State
  • City
  • Full-time
  • Salary
    N/A
  • Hiring Company
    Sheridan Memorial Hospital
  • Date
    2019-09-13
  • Deadline
    2019-11-12
  • Category

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