The Division of General Pediatrics at the University of Utah School of Medicine has an immediate opening for a Patient Financial Advocate to work at the South Main Clinic location. The Patient Financial Advocate plays a critical role in rendering exceptional care to patients and families, and in providing support to staff and licensed providers.
The University of Utah offers a comprehensive benefits package, with excellent health care options, retirement plans and paid leave time. Current benefit information is available at www.hr.utah.edu/benefits.
University of Utah Job ID# PRN15447B, General Pediatrics Department
COMPENSATION: $12.02 - $19.22/hour DOE. Strong benefit package including tuition reduction program, Bus/TRAX pass, retirement and health plan options.
WORK SCHEDULE: Full-time, 40 hours/week, Monday " Friday, 8:00 am " 5:00 pm.
- Functions as primary liaison between physicians and mid-level providers and their patients including: scheduling and confirming appointments; responding to patient calls by evaluating the nature and urgency, and returning calls for the physicians/providers whenever possible; and coordinating multiple appointments with other physicians and/or services. Acts as liaison to medical/nursing students and residents.
- Assists with the preparation and smooth operation of the clinic by making patient charts, referral letters and clinic schedule available; answering patient questions regarding policies, co-payments, fee schedules, etc.; and obtaining medical and insurance information and entering into the data base.
- Confirms correct insurance information and interviews and evaluates patients to determine eligibility for assistance programs.
- Interviews and evaluates patients to determine eligibility for assistance programs and helps complete associated forms.
- Explains topics of insurance coverage, treatment costs, prompt pay and/or financial hardship discounts to patients and/or family members during catastrophic or challenging life events which may involve, but are not limited to, death, amputation and disability.
- Follows up with patients who do not qualify for outside assistance to determine financial hardship discount, charity write-offs and/or payment arrangements.
- Confirms correct insurance information and coordinates efforts with various teams for correct and timely billing.
- Coordinates Certificates of Medical Necessity, determines and collects payments due prior to procedure, and communicates ineligibility to physicians and patients when necessary.
- Maintains and orders supplies and equipment, forms, keys, etc. Reconciles patient billings with medical supplies used and lab tests ordered, reports discrepancies and assists with corrections.
- Establishes and maintains a positive working relationship with patients by encouraging program participation and enhancing process improvement.
- Establishes and maintains a positive working relationship with patients to meet their needs, ensure process compliance, and resolve outstanding billing issues between physicians, hospitals and insurance companies.
- Assists the division with business planning, goal setting and development of program and grant budgets.
- Reviews charges and payments for meds and labs.
- Schedules intake appointments for new patients and updates patient demographics and registration information as needed.
Four years experience with medical accounts receivable, insurance claims, or equivalency; Familiarity with commercial or government billing requirements, Health Care Financing Administration (HCFA) regulations, and customer service practices and; Basic knowledge of accounting principles, word processing, spreadsheets, and demonstrated human relation and effective communication skills. Comprehension of Medicaid eligibility guidelines and bilingual language (Spanish) skills may be preferred.
Fluency in Spanish, both oral and written EPIC and/or health care insurance experience Prior work experience in a medical setting Comprehension of Medicaid eligibility guidelines
Applicants will be screened according to preferences
PLEASE APPLY ONLINE THROUGH THE UNIVERSITY OF UTAH SYSTEM TO BE CONSIDERED FOR THIS JOB:
EQUAL EMPLOYMENT OPPORTUNITY The University of Utah is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. Please contact the Office of Equal Opportunity and Affirmative Action, 201 S. Presidents Cr., Rm 135, (801) 581-8365 (V/TDD), for further information or to request an accommodation. The University of Utah is committed to diversity in its workforce. Women and minorities are encouraged to apply.