Patient Resource Advocate job - ClaimAid - Terre Haute, IN

SUMMARY: Assist assigned clients with referred self-pay patients and address all aspects of the financial condition of the patients. That would include the following:

• Screening and assistance for patients that are potentially eligible for medical coverage through a federal or state agency that provides medical reimbursement for incurred medical services, and / or,


• Screening and assistance for the assigned clients internally financial assistance program, or


• Working with patient to establish payment arrangements (including possible on-site receipt of payments)

PRIMARY FUNCTIONS:

• Accept assigned client(s) referrals.


• Contact and interview patients and/or families to screen the appropriateness of filing applications(s) for medical coverage.


• File a timely, accurate and complete application(s) for eligibility medical coverage program to ensure program covers all available dates of service.


• Assist patients with obtaining the needed verifications and documentation (with patient’s authorizations) that is required to determine eligibility.


• Monitor and assist with the application process including attending interview when necessary to maintain all processing deadlines.


• Document and update status within Client and ClaimAid’s system on regular basis to maintain accountability.


• Report eligibility determinations to appropriate persons to secure revenue for clients and ClaimAid.


• Mentor peers including training as needed.


• Provide in-service training for current and prospective clients as assigned.


• Assist patient w/Appeals when appropriate.


• Keep current with trends and developments related to essential job competencies.


• Maintain confidentiality of patient health information in compliance with HIPAA regulations.

Perform other job-related duties or special projects as required.

QUALIFICATIONS:

• Extensive knowledge of eligibility policy rules and processing requirements for programs administered by FSSA.


• High school diploma required; bachelor’s degree or equivalent business experience helpful.


• Strong investigative, analysis and judgment skills.


• Must have excellent spelling and grammar; good phone skills; basic math skills; organized; sets priorities; meets deadlines; able to multi-task; carefully proofs own work.


• Must demonstrate effective communication skills by conveying necessary information accurately, listening effectively and asking questions when clarification is needed.


• Ability to work independently and as part of a team.


• Professional demeanor both on the phone and in person.


• Ability to travel regionally with occasional overnight stay.


• Ability to shift back and forth between two or more tasks.


• Familiarity with Microsoft Office Tools.


• Being sensitive to the medical needs of the patient and professional duties of hospital staff.


• Is expected to represent the organization professionally at all times.


• Will be expected to meet all productivity requirements.

Salary: $16.00 /hour