| You. You bring your body, mind, heart and spirit to your work as a Patient Financial Advocate. Your compassion is tangible: patients feel it in the hand they hold. Families feel it in your prayers. Colleagues feel it in your support. You’re great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible. Us. St. Mary’s Medical Center is part of SCL Health, a faith-based, nonprofit healthcare organization that focuses on person-centered care. Our 346-bed regional medical center is in Grand Junction, one of the most beautiful places on earth. Our mission is to bring health and hope to the poor, the vulnerable, our communities and each other. Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, we’ve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning. We. Together we’ll align mission and careers, values and workplace. We’ll encourage joy and take pride in our integrity. We’ll laugh at each other’s jokes (even the bad ones). We’ll hello and high five. We’ll celebrate milestones and acknowledge the value of spirituality in healing. We’re proud of what we know, which includes how much there is to learn. Your day. Schedule: Mondy-Friday 4:00pm to 12:30pm As a Patient Financial Advocate you need to know how to: - Determine patient’s financial needs by assisting patients in applying for Medicaid coverage, qualifying for State or Federal programs, education of the Affordable Care Act, presenting patients with payment plan options, and identifying individuals who are in need of financial assistance.
- Responsible for quality assurance in application processing and procedures, along with adhering to all compliance requirements mandated by CMS, HIPAA, JCAHO, etc.
- Act as liaison between departments located at the care site and/or RSC; fostering open communication and team work, utilizing positive and effective communication with all team members.
- Ability to screen patients and determine potential eligibility for State Medicaid (MAGI, LTC, and Federal Disability programs (SSI/SSDI) and assist with the application process.
- Deliver education in regards to explaining affordability programs, qualified health plans, essential health benefits and rights when using insurance.
- Educate patients about Connect for Health Colorado (C4HCO) meeting with patients in person or via phone to explain services available, reasons to buy health insurance, and options for coverage
- Ability to understand the PEAK and Connect for Health web-based decision tools and guide patients through the process of narrowing choices for qualified health plans
- Educate and assist patients on affordable payment plan options while adhering to the SCL payment plan guidelines
- Establish acceptable payment arrangements on self-pay accounts.
- Have a strong understanding of SCL’s financial assistance policy and procedures.
- Ability to run and provide estimates to patients for services provided by SCL Health
- Collects patient payments and provides receipt accurately completing all required fields
- Remaining current with the Connect for Health Colorado programs and maintain certification
- Complete, pass, and maintain Colorado’s state certification for CAC (Certified Application Counselor) and CAAS (Certified Application Assistance Site) Colorado’s Outstationing grant program; adhering to the rules and regulations set forth by the State of Colorado.
- Maintain departmental and/or individual work queues and reports as required
- Explains/answers patient billing inquiries and interprets statement data to resolve accounts
- Demonstrate discretion in verbal and written communication with patients and SCL Health staff ensuring patient confidentiality at all times
- Document patient account notes for all interactions/transactions in EPIC and/or CAC Tracker.
Your experience. We hire people, not resumes. But we also expect excellence, which is why we require: - Basic computer knowledge including experience with Microsoft Office Suite.
- High school Diploma or equivalent
- Minimum of one (1) year Financial Counseling experience and/or insurance knowledge
Preferred Skills Include: - Financial Counseling experience - 2+ years
- Medicaid / Medicare background
- SSI/SSDI background
- Experience working with Disability based programs strongly preferred.
- Medical record/terminology experience and disability criteria familiarity
- Insurance knowledge
- Previous Certified Application Counselor training (CAC) - State and/or Federal
- Understanding of State and Federal Programs available to the indigent care population i.e. food stamps, Medicaid expansion, SSI, SSDI, etc.
- Previous hospital/medical office, medical insurance and/or customer service experience preferred
- Knowledge and understanding of the 501r Regulation
- Bilingual proficiency in Spanish and English
Your next move. Now that you know more about being a Patient Financial Advocate on our team we hope you’ll join us. At SCL Health you’ll reaffirm every day how much you love this work, and why you were called to it in the first place.  |
