Aurora Health Care Financial Advocate- Greenfield in Greenfield, Wisconsin

Financial Advocate- Greenfield

Job ID

168403

Specialty / Department

Financial Advocates South

Full / Part Time

Full-Time

Hours / Bi-weekly Pay Period

80

Shift / Scheduled Hours

1

This is a Monday thru Friday 8:00am to 4:30pm position

2019-01-11

Location

  • Greenfield 4448 W Loomis Rd

4448 W Loomis Rd

Greenfield,

WI

53220

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  • How You’ll Make a Difference

Acts as a liaison between the facility and the uninsured, underinsured, and/or patients with large outstanding balances to assess the patient?s needs for financial assistance. Identifies any available assistance programs as well as screens and evaluates the patient?s ability to pay and coordinates a mutually acceptable payment plan. Educates the patients on the cost of care and assists them in the management of their financial responsibility.

Interviews qualified patients for various potential funding sources and completes all necessary applications or paperwork for potential coverage(s) identified.

Problem-solves with all parties as necessary to help address insurance coverage gaps via alternative funding options. Provides information regarding internal and external assistance programs and assists with the process.

Updates hospital and clinic patient accounting information system with appropriate information. Notifies affected department as appropriate.

Continues follow-up efforts to obtain coverage for the patient?s date of service. If the patient is denied coverage, reviews denial(s) and appeals when necessary.

If no coverage option is applicable and the patient?s income is below the Federal Poverty Level guidelines, provides Helping Hand application to the patient for completion or completes with patient if all necessary information is received while the patient is still in-house.

Works with patients, family members, and guarantors to discuss outstanding balances, billing issues, and negotiate financial arrangements for healthcare services. Calculates or estimates patient liability/deposit and discusses financial obligations with the patient including their total Aurora indebtedness and requests payment.

Educates physician office/patient on the organization's applicable policies such as payment collection, explaining service may be rescheduled. Works with clinician and abides by the deferral policy. Confirms scheduling for the patient upon completion of financial clearance.

Provides guidance and serves as a resource person for Patient Access, Business Office, hospital and clinic personnel.

Acts as a liaison between physicians and the Medical Center administration in relation to special admission payment arrangements. Posts adjustments as related to special agreements.

Proactively communicates issues involving customer service and process improvement opportunities to management.

Qualifications

License & Certifications

None Required.

Education

High School Graduate, or

Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED).

Experience

Typically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting.

Ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available. Ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations and comply with updates on insurance pre-certification requirementsMathematical aptitude, effective oral and written communication skills and critical thinking skills.Ability to set and meet deadlines, prioritize work and be able to work independently.Ability to present a pleasant, professional demeanor/image during telephone conversation and speak effectively to customers or employees.Demonstrates a working knowledge of insurance benefits, insurance companies, Medicare and Medicaid.Ability to handle sensitive and confidential information according to internal policies.

At Aurora Health Care

We pride ourselves on taking care of our people. And not just our patients—we mean you, too. We help each other live well. When you work at Aurora, you get the chance to work with a dedicated team that’s as passionate about the work as you are. Here, you’ll find limitless opportunities for ongoing learning, career advancement, competitive compensation and a stable work environment. But more than that, you have the opportunity to change lives—including your own.

Diversity and inclusion matters at Aurora. We celebrate our differences and nurture an environment where everyone feels included. We know that when we reflect the communities we serve, when we embrace differences and bring our whole selves to work every day, we are working as one to build a healthier tomorrow for everyone. Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing. We maintain a smoke-free environment at all our locations. We are an equal opportunity employer.