A Patient Financial Advocate is hired to assist patients and their families in accessing the various financial resources. Duties and responsibilities that are highlighted on the Patient Financial Advocate Resume are – assisting appropriate patients and families in exploring options for financial assistance for medical services, following up with appropriate patients and families for financial assistance needs, obtaining necessary insurance information for patients; answering questions for directing patients to appropriate staff members, billing, payment and collection arrangements; meeting patients to discuss estimated costs of therapies; working closely with patients and patient financial services; and developing templates of charges to assist patients.
Summary of skills that can highlight a resume includes the following – the ability to explain clearly to patients/families about the problems and issues relating to the medical-related financial needs, knowledge of current resources and programs; customer service skills; and awareness of philosophy of care relating to patient financial services. A degree in the field of Social work or a related field is commonly considered as a minimum education requirement.
Objective : As a Patient Financial Advocate, responsible for Making and receiving inbound/outbound phone calls to initiate arrangements for patients to pay their portion of the account, Responding to patient billing inquiries, and also Negotiating payments and payment plans with patients.
Skills : Compassionate Customer Service, Social Perceptiveness, Financial Analysis.
Description :
Responsible for the collection of patient out-of-pocket expenses through the effective evaluation of the patient's financial situation.
Conducted case by case financial evaluation of self-pay admissions assigned to determine if reimbursement is available through various government and non-government programs or other third party sources, including the unique handling of trauma patients.
Conducted interviews, gather documentation, and prepared summary in order to process applications for charitable consideration.
Resolved problems/issues that involve third-party payors ie., HMO/PPO's, BCBS, Medicaid, Medicare, commercial, workers comp, and other various carriers to avoid payment delay.
Responsible for timely follow-up of accounts with self-pay balances who qualify for the on-line Pre-service, daily in-house, and currently registered self-pay patients assigned to each financial advocate based on specific requirements.
Liaisoned for the hospital with VA Fee Basis Department Process and handles high dollar appeals and disputes.
Assisted patients that qualify for Medicaid with the application process.
Experience
2-5 Years
Level
Junior
Education
GED
Patient Financial Advocate Resume
Headline : Seeking a challenging opportunity in the Patient Financial Advocate which will fully utilize my office experience, technical training, strong work ethic, and dedication. Desiring employment where advancement is based on efficiency and contributions to company growth.
Skills : Patient Care, Coordinating Skills, MS Office.
Description :
Identified documents and collected patient responsibility money before or at the time of service.
Assisted patients with questions about financial arrangements, billing, collections, or other policies.
Coordinated placement and admission of patients into the hospital.
Coordinated interfacility transfers, admissions, and discharges.
Assured accurate admission class and order status for federal compliance and accurate census.
Performed regular audits to ensure accuracy.
Performed On-call weekend supervisor for Emergency Department.
Experience
5-7 Years
Level
Executive
Education
BA
Patient Financial Advocate Resume
Summary : Goal-oriented Patient Financial Advocate dedicated to high levels of customer satisfaction and meeting aggressive business goals. Dedicated and Focused on specialized knowledge in over 20 years of customer service, inbound calls with knowledge of customer support.
Skills : Customer Service, Microsoft Office, Lotus Notes, Critical Thinking.
Description :
Called insurance companies to verify insurance and eligibility of benefits using multiple websites.
Checked if preauthorization is needed.
Used Clear Quote obtaining how much monies are owed before scheduled procedures and surgeries.
Called patients and obtained demographic information.
Collected copays, deductibles, and coinsurance.
Worked closely with other hospital departments, doctor offices, and staff to ensure a smooth process.
Utilized Fax machines, Copiers, Word, Outlook, and Scanning.
Experience
10+ Years
Level
Senior
Education
BS
Patient Financial Advocate Resume
Objective : Seeking a Patient Financial Advocate, responsible for Submitting credit card payments, Escalating high complexity billing issues for resolution to a senior associate or supervisor, and also Meeting or exceeding daily production requirements.
Posted payments, adjustments, transfer of responsibility, and refunds, as necessary Issue adjusted, corrected, and/or rebilled claims to insurance companies.
Answered questions from clerical staff and insurance companies.
Identified and resolved patient billing problems.
Prepared, reviewed, and sent patient statements to mailing service.
Reviewed accounts and made recommendations to the Senior Claims Billing Specialist regarding uncollectible accounts.
Performed dialing collection actions including contacting the insurance company, contacting the site, correcting and resubmitting claims to third party payers.
Prepared and posted daily deposits received from customer site (P.O.Box) and/or lockbox remittance.
Experience
2-5 Years
Level
Junior
Education
GED
Patient Financial Advocate Resume
Objective : Results-oriented, well organized, and self-motivated with proven success in building rapport and developing relationships. Special proficiency in working with state insurance departments, physicians, staff, patients and visitors. Skilled in research, problem solving and negotiating. Able to work independently or as part of a team.
Skills : Good Communication Skills, Financial Analysis, Multitasking.
Description :
Gathered patient information to initiate a medical record on all surgery patients.
Generated a procedure packet for each patient procedure.
Verified insurance for all patients through phone calls to a variety of insurance contacts and/or through online sources.
Provided front desk support including answering phone calls and managing incoming faxes.
Received/assisted/checked in patients and visitors.
Notified appropriate staff of patients' arrival.
Collected patient payments as needed via the Quick Pay system.
Verified completion of patients chart.
Experience
2-5 Years
Level
Executive
Education
G.E.D
Patient Financial Advocate Resume
Objective : Patient Financial Advocate with 5 years of experience in Contacting patients to discuss insurance benefits, and collect monies for co-pays, deductibles, and/or out-of-pocket dues and document in PAS system, Offering payment estimates and/or offer payment arrangement.
Skills : Microsoft Office, Macintosh Operating Systems, Accounting Skills.
Description :
Advocated for patients and their families to explore options for financial assistance for medical services.
Encouraged and assisted patients to establish a financial record keeping plan/system, utilizing the appropriate tools available.
Assisted to secure resources via written correspondence, electronic correspondence, and providing constant, thorough follow-up.
Maintained and verified insurances in the electronic health record system.
Maintained a constant high level of communication with families, individuals, peers, and physicians to assure the patient's needs are met.
Released information to persons or agencies according to regulations.
Assisted patients with the process of obtaining Medicaid.
Experience
2-5 Years
Level
Junior
Education
G.E.D
Patient Financial Advocate Resume
Headline : Well rounded Patient Financial Advocate professional with career experience in human and social services and law enforcement in both community and correctional settings for over fifteen years. Disciplined, motivated, personable with the firm, fair, and consistent boundaries.
Skills : Communication Skills, Verbal Skills, People Skills.
Description :
Worked with financially indigent patients who will undergo future medical services.
Consulted and screened patients for available programs including Medicaid, Medicare, SSD/SSI, county assistance, insurance eligibility, and hospital charity.
Accessed insurance websites and update patient medical records accordingly.
Worked closely with doctors' offices and nursing staff to obtain CPT codes and cost estimates for procedures.
Worked as an advocate for the patient and the hospital.
Certified enrollment counselor and have helped patients browse and obtain insurance via the insurance exchange.
Obtained insurance and/or eligible financial funding for services, that if not obtained, may result in the hospital not being reimbursed for services.
Experience
5-7 Years
Level
Executive
Education
BA
Patient Financial Advocate Resume
Headline : Patient Financial Advocate with 6 years of experience in Reviewing information from the patient's file on a system chart, Reviewing patient refunds and notify supervisor of rejected refunds, and also Working correspondence mail from CSO, Answering incoming patient calls.
Executed Patient Access daily operations of screening Emergency Department self-pay patients for eligibility in various governmental and non-governmental programs.
Interviewed and accurately collected and recorded patient demographic and insurance information to complete the registration process.
Initiated and completed MA applications for eligible patients and followed up on assigned accounts to ensure follow-through on Government application submitted.
Developed a working relationship with patients based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
Performed financial clearance functions including collections in Emergency Department, canceled accounts that have not had any patient cooperation, and are not eligible for any programs, and prepared accounts for Financial Assistance (Charity) review.
Served as a bilingual advocate interpreting and translating English to Spanish and Spanish to English to patients, clients, and their families.
Promoted patient satisfaction, serving as a liaison on behalf of the hospital and patient.
Experience
5-7 Years
Level
Executive
Education
GED
Patient Financial Advocate Resume
Headline : Seeking the opportunity to further my career and develop my abilities to maximize my full potential. Determined individual looking to further develop the growth and quality of the company and the designated department I am seeking employment from.
Skills : Project Management, Healthcare Practice Management, Microsoft Excel, Marketing Strategy.
Description :
Identified several process improvements for business office functions; authored standard operating procedures.
Formulated an Excel model that reduced medical chart auditing time.
Created a new insurance verification system that more adequately complies with company by-laws and decreased the verification process time.
Spearheaded an online payment imitative; tested functionality, and research resources.
Coordinated on-site biometric screenings and facilitate the Healthy Edge program.
Took ownership of facility social media, implemented site monitoring, and contributed to overall marketing strategy.
Experience
5-7 Years
Level
Executive
Education
GED
Patient Financial Advocate Resume
Objective : As a Patient Financial Advocate, responsible for assisting all scheduled CPUP and HUP outpatient patients, assess and ultimately resolve their financial situations, prior to receiving treatment, especially those who are uninsured, underinsured, and have low incomes.
Skills : Microsoft Office, Patient Care, Medical Records.
Description :
Reviewed daily census/worklist to identify self-pay patients to complete assessments with patients for financial assistance through charity programs and/or state Medicaid programs.
Knowledgeable in current government financial assistance programs like Wisconsin and Illinois Medicaid, and Crime victims.
Collected required documentation from patients to support applications submitted for review to state agencies by the online website or faxing the application to proper departments.
Had communication with patients, hospital staff, and other agencies to maintain updates on the process of the application or information that was needed.
Initiated Social Security application process for Social Security Disability and Supplemental Security Income.
Assisted in training all of the new-hires by providing side-by-side guidance and providing exceptional assistance when needed.
Experienced with Emdeon and other eligibility programs for verifying insurances.
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