Financial Resource Advocate
- Requisition ID
- 183241
- Department
- 530388 Womens Health South Meadows
- Schedule
- Full Time - Eligible for Benefits
- Shift
- Day
- Category
- Clerical & Administrative Support
Position Purpose
This position serves as the patient’s primary contact for patient reimbursement issues in accordance with established policies. The incumbent provides information regarding treatment costs, out-of-pocket patient responsibility, hospital payment requirements, alternative financing and charity care programs. The incumbent must demonstrate knowledge and skill to determine the eligibility of patients for specific programs. The incumbent is responsible to act as liaison between the patient, family, county, and governmental agencies. The position expedites and provides access to the hospital through the gathering of demographic, clinical, financial, and statistical information from patients and their families. This position is to ensure that the company will be reimbursed for services by verifying and documenting insurance eligibility, and benefit coverage using all available technology i.e. Internet/Intranet.
This position serves as an agent of Renown Health and the department in which the employee serves when collecting payments, initiating financial assistance and educating the public on the billing policies and procedures of the company and avenues of financial assistance.
This position must keep abreast of all changes involving governmental and community agencies, insurance coverage, grants specific to the patient and other options/resources available.
Nature and Scope
The major challenge to this position is to professionally and diplomatically work with and communicate positively with patients of all ages, their families and physicians regarding financial matters and ensures system documentation reflects the correct billing information. i.e., demographic, employer, insurance and that the patient is informed about and understands their financial responsibility.
This position is responsible for providing information to the patients about the appropriate government agencies or other resources that may provide the financially restricted patients with assistance based on the patient’s qualifications.
This position must be able to work cooperatively and professionally with hospital staff, community/outside agencies, and physician offices. Must be able to make independent decisions except in matters involving non-routine problems, requests for sick leave, vacation time, overtime and assignments for duty.
This position is expected to be a team player and take the initiative in all areas of the Institute for Cancer and the appropriate Revenue Cycle team members. This position demonstrates high standards of courtesy, performance, documentation, diplomacy and respect for confidentiality.
This position does not provide patient care.
Disclaimer
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name | Description |
|---|---|
Education: | Must have working-level knowledge of the English language, including reading, writing, and speaking English. Associate degree or bachelor’s degree preferred. Bilingual (Spanish) preferred. |
Experience: | Requires 24 months of patient accounting, medical billing, general medical office or medical claims processing experience. In addition, six months of credit, insurance, governmental program experience and/or direct customer service experience is required. Experience with MS Windows NT or MS Windows 2000, MS Office, SMS Invision, Internet and SMS IMS Document Imaging preferred. |
License(s): | None |
Certification(s): | Nevada Medicaid Hospital Presumptive Eligibility (HPE) Certification required within 12 months of hire. Notary Public Certification preferred. |
Computer / Typing: | Must possess, or be able to obtain within 90 days, the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Requires the ability to type 35 to 45 words per minute. |
Benefits
Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.
With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.
Paid Time Off
401(k) Company Match
Flexible Work Environment
Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
For Providers: Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.