Patient Financial Advisor II - Patient Financial Clearance

Location

Type, TX | United States

Job description

JOB SUMMARY: 

The Ambulatory Patient Financial Clearance team at UT Southwestern has a new position available for a Patient Financial Advisor II. This role operates with limited oversight and guidance to provide financial counseling and clearance to patients that occur across two or more revenue locations. Core duties for this position includes the following: 

• Patient Communication: Clearly explain billing statements, answer questions about charges, and address concerns regarding financial responsibilities for upcoming services. 
• Financial Assistance: Guide patients through various financial assistance programs and eligibility criteria. 
• Payment Processing: Collect payments for upcoming services and/or outstanding balance.
• Debt Resolution: Offer solutions and negotiate payment plans for patients facing challenges settling their bills. 
• Compliance: Ensure all interactions and processes adhere to UT Southwestern financial policies and regulations.   

Shift: 8am-5pm

Work From Office: This position will be on-site 

EXPERIENCE / EDUCATION:

• High school diploma with five (5) years of financial counselor or equivalent experience
• Associate degree with three (3) years of financial counselor or equivalent experience
• Bachelor’s degree with one (1) year of financial counselor or equivalent experience    

JOB DUTIES:

• Provides complex financial counseling for services that occur across two or more revenue locations.
• Provides training to Financial Wellness Advisor I’s and other employees as needed related to financial counseling services.
• Responsible for confirming patient insurance eligibility and providing complex benefits review in support of multiple revenue locations for single visits and extended episodes of care.
• Reviews benefits to ensure that organization and patient understand the extent of coverage for services. 
• Assists with prior authorization requests when appropriate to expedite access to services.
• Provides combined cost estimates for facility and professional services.
• Accurately utilizes cost estimate technology to create cost estimates for services and communicates estimated costs to patients and other affected parties.
• Accurately posts payments and creates payment plans for upcoming services and/or outstanding balances.
• Responsible for reviewing account details for patient education and/or correction: Reviews balances and communicates to patient and other affected parties about outstanding balances.
• Assists patients in resolving account questions and concerns.
• Correctly identifies and advises patient on options to resolve bad debt balances.
• Advises patient about financial and special entitlement programs (such as charity programs, drug assistance programs, and other patient assistance options).
• Responsible for coordinating and completing financial assistance application for charity care program
• Responsible for understanding the revenue cycle, including all involved parties and appropriate escalation pathways.
• Knowledge of various regulatory agencies: JCAHO, Medicare/Medicaid Laws, State & Federal Laws, Hospital/Departmental Policies.
• Duties performed may include one or more of the following core functions:  a) Directly interacting with or caring for patients; b) Directly interacting with or caring for human-subjects research participants; c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
• Performs other duties as assigned.    

KNOWLEDGE, SKILLS & ABILITIES:

• Work requires proficient knowledge of computers and office equipment. 
• Possess near vision acuity for accurate reading of computer screens.
• Work requires ability to coordinate and work independently.
• Work requires proficient knowledge of computers and office equipment.
• Work requires ability to communicate effectively with internal and external contacts on policies and procedures.
• Work requires ability to work with confidential information on daily basis.
• Work requires good organizational skills.
• Work requires excellent internal and external customer service skills
• Work requires the use of initiative, strong independent judgement, and resourcefulness are inherent in the job
• Work requires the ability to develop and recommend policies and procedures for approval by supervisor    

WORKING CONDITIONS:  

Work is performed primarily in general office/clinic area.    

SECURITY:

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information    

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of: race; color; religion; national origin; sex; including sexual harassment; age; disability; genetic information; citizenship status; and protected veteran status. In addition, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression. 

Job tags

Salary