Patient Financial Advocate in Wakefield, Rhode Island at South County Hospital

South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. Accredited by The Joint Commission (TJC), SCH is made up of South County Hospital, South County Home Health, and South County Medical Group. South County Health has received numerous distinctions for patient care and safety over the years, which have included a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A’s for hospital quality and patient safety by The Leapfrog Group. Having celebrated over 100 years of service to southern Rhode Island, South County Health offers an exceptional opportunity to provide our patients with the best care possible while enjoying a healthy work-life balance. We offer competitive salaries and an attractive benefits package which includes, health, dental, vision, tuition reimbursement, 403b, PTO, and a broad range of career development benefits and opportunities.

Job Summary:

The Patient Advocacy Program assists with components of the revenue cycle aimed at obtaining financial coverage before the patient is discharged and after patient care has been provided. In addition to collecting upfront payment from patients, such as co-payments, co-insurance, deductibles, fees for elective surgery, existing balances, or pre-care deposits. The position responds to patient and other responsible parties by telephone calls, correspondence and emails. The position makes outgoing telephone calls and sends correspondence to patients and responsible parties on outstanding accounts receivable amounts, payment plans, eligibility for financial assistance, health plan coverage, coordination of benefits and denied claims.

Minimum Qualifications:

Confident and experienced individual with working knowledge of Government and commercial health plan insurer coverage, claim requirements, remittance processing and sliding scales. Working knowledge of health care coding systems (Procedural, Diagnosis, Modifier, Remittance and others). Must be able to read medical notes. Understanding and ability to utilize various electronic, web based and manual coding resources. Responsible for evaluating, processing and resolving patient complaints in accordance with policy and procedure. Ability performing transactions in a patient accounting system as well as the admissions module; proficient data entry, word processing, spreadsheets, and work file computer skills. Ability to troubleshoot problems and demonstrated attention to detail and accuracy. Ability to continue to learn skills and expand knowledge; Strong organizational and planning skills. Strong communication skills including verbal, in person, telephone and written; Demonstrated ability in being a cooperative and productive member of the Patient Access team and possess a positive attitude. Minimum three (3) years related experience is required.

Pay Range: $21.45 - $27.88