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Patient Financial Advocate

Guardian Recovery Network Holdings (Corporate) - Delray Beach, FL 33445

Overview

Salary Range $50,000.00 - $65,000.00 Salary Position Type Full Time Job Shift Day (First Shift) Education Level High School Diploma or Equivalent Travel Percentage None

Description

Position Purpose:

The Patient Financial Advocate is responsible for reviewing insurance policy coverage and preparing the family and/or patient for all financial responsibilities related to services, collections of outstanding accounts receivable dollars from the existing client patient base and all other aspects of collections, resolving customer billing problems and reducing accounts receivable delinquency. An ideal candidate possesses a unique understanding of how to execute the collection and recovery process while maintaining a sensitive yet professional demeanor with our patients. This position will report to the Director of Revenue Management.

Qualifications

Position Requirements/Qualifications

Education:

High school diploma or equivalent required. Bachelor's degree preferred

Experience:

Must have prior patient collections experience for 1 year or more

Licensure/Certification:

CPR preferred

Knowledge and Training Required at Time of Hire:

• Knowledge of the Principles and Practices of the discipline.
• Knowledge of Joint Commission Standards.
• Demonstrates Proficiency in Communication & Written skills.
• Knowledge of State & Federal Statutes Regarding Client Confidentiality laws.
• Knowledge of Drug-Free Workplace Policies.
• Knowledge of Workplace Violence.
• Proficient, intermediate to advanced computer skills using Microsoft Word, Excel and Salesforce software
• Knowledge of various state requirements related to dept collection laws
• In depth understanding of patient health insurance benefits
• Skilled in negotiation
• Creative, self-disciplined and capable of identifying and completing critical tasks independently and with a sense of urgency
• Experience in a telecommunications environment is preferred but not required

Age Specific Individuals Served/Responsibility:

Adults

Specific Areas of Responsibility to Position:

1. Review open accounts for collection efforts.
2. Make outbound collection calls in a professional manner while keeping and improving customer relations.
3. Resolve client-billing problems and rescues accounts for receivable delinquency, applying good customer service in a timely manner.
4. Collect customer payments in accordance with payment due dates.
5. Identify issues attributing to account delinquency and discuss them with management.
6. Provide timely follow-up on payment arrangements.
7. Mail correspondence to customers to encourage payment of delinquent accounts.
8. Fax documents to accounts and follow up.
9. Research and solve payment discrepancies.
10. Coordinate with DRM and third-party collections agency for severely delinquent accounts.
11. Protect the privacy of all client information in accordance with GRNH, LLC's privacy policies, procedures, and practices, as required by federal and state law, and in accordance with general principle of professionalism as a healthcare provider. Failure to comply with the company's policies and procedures on client privacy may result in disciplinary action up to and including termination of employment.
12. May access protected health information (PHI) and other patent information only to the extent that it is necessary to complete your job duties. The incumbent may only share such information with those who have specific client information you have in your possession to complete their job responsibilities related to treatment, payment or other GRNH, LLC operations.
13. Expected to report, without the threat of retaliation, any concerns regarding GRNH, LLC's policies and procedures on client privacy and any observed practices in violation of the policy to their supervisor.
14. Perform other duties assigned.