Financial Services Advocate

Financial Assistance Coordinator

Serves as primary resource in assisting and determining financial assistance opportunities for BTNRH patients and families prior to, throughout and following their care delivery. Assists patients, parents, and / or guardians in understanding their financial obligations and exploring the situational appropriate financial options, such as providing care estimation, financial assistance, payment plans, and enrollment for Government agency healthcare programs. Performs final notice pre-collection calls in an attempt to minimize referral to our external collection agency, offer financial assistance not previously identified, and as appropriate screens for Medicaid eligibility. Receives and handles all bankruptcy notices to ensure compliance with all pertinent laws and regulations. Serves as the Revenue Cycle liaison with our collection agency regarding presumptive charity and settlements.

Major Responsibilities & Duties :

• Assists patients and / or guardians in determining an estimate for cost of services to be rendered by conducting a financial screening and anticipates out of pocket liability.
• Communicates and collects estimated out of pocket liabilities in advance of services and / or counsels appropriate party with options available to assist them.
• Screens and assists patients in completing NE Medicaid or independent state agency Medicaid applications.
• Works all COB denials from Medicaid & Managed Care Medicaid.
• Completes all pre-collection calls in an effort to assist the patient in determining an acceptable payment plan.
• Reviews all bankruptcy notices and handles all necessary adjustments.
• Reviews clinic schedules to determine opportunities regarding no coverage, potential high dollar visits, or new patients missing necessary insurance information.
• Refers patients to appropriate SSI office to apply for disability when conditions warrant this type of assistance.
• Maintains summary data to report quarterly, or as needed, to re-cap activities, time, and expenses related to filing financial assistance applications.
• Serves as a liaison between the patient, referral sources, BTNRH Patient Financial Services, and clinical operations.
• Performs annual review and updating of policy and procedures relating to financial assistance guidelines and practices.
• Checks all pending Medicaid applications daily.
• Performs a monthly check of all in-house NE & IA Medicaid patients.
• Assists the patient with contacting insurance companies when questions arise concerning benefits, coverage, and payment liability.
• Performs proactive review of all self-pay accounts scheduled for services.
• Acts as liaison between BTNRH and States of IA and NE departments of Health and Human Services.
• Provides timely communication updates to members of leadership, compliance, and marketing.
• Annually reviews and updates federal poverty guidelines.

Knowledge, Skills, and Abilities :

Required Qualifications :

Preferred Qualifications :

Physical Requirements, Equipment Usage, Work Environment :