Employment Type:Full timeShift:Day Shift

Description:

At Loyola, we know you’re more than your job. We see you and all your potential. That’s why we invest in our people. Flexible scheduling, tuition reimbursement and day one benefits… at Loyola, what’s important to you, is important to us. Join our family.

•    Benefits from Day One
•    Daily Pay
•    Career Development
•    Tuition Reimbursement
•    Referral Rewards

Schedule M-F 8a-430p - Bi-Lingual English/Spanish highly preferred!

In this role, the Patient Benefit Advocate is responsible for coordinating payment sources and other activities related to securing reimbursement for hospital services rendered to patients who are either already admitted to our hospital, or who may be seeking to obtain services. The Patient Benefit Advocate I will educate and assist patients with understanding their insurance options, setting up payment arrangements, and collecting patient financial responsibilities, while also assisting the patient with any and all avenues of financial assistance available to them. The Patient Benefit Advocate I will perform all functions in a courteous and respectful manner, advocating for the patient’s best interest and well-being.

Position Responsibilities:

Works with patients and vendors in applying for and securing payment options. Works with contracted vendors/agencies to qualify applicants for insurance coverage.Educates patients on routine insurance coverage and financial assistance options, when appropriate. Assists with application process for patient coverage and financial assistance.Provides pricing estimates and communicates pre-service patient liability based on expected charges and potential coverage. Collects any patient liabilities due and performs routine cashiering functions.Performs benefit advocacy functions for patients on a pre-service, point of service and post-service basis. Interviews patients and/or their representatives, by adapting and utilizing interviewing techniques to meet respective needs, educational levels, and abilities of the interviewee, to accurately update demographic, clinical, financial and insurance data necessary to complete the benefit advocacy process and screen patients for financial assistance. Reviews prior account notes for past due balances and any information that might aid in the application/payment process, as well as documents all encounters and actions.Interacts and collaborates with numerous departments to resolve issues while also analyzing necessary information that will ensure hospital reimbursement. Initiates requests for charity care and recommends write-offs charity care adjustments, when appropriate. Monitors accounts in the self-pay or eligibility pending financial class and following up to provide account resolution.

Magis & Service Excellence Accountabilities:

Responsible for consistently demonstrating our Magis values of Care, Concern, Respect and Cooperation through teamwork and effective communication in an effort to prevent and solve problems and to achieve quality outcomes, patient safety, customer satisfaction and a safe environment. Responsible for developing and maintaining an environment of service excellence as outlined in the Service Excellence standards.

Position Requirements:

Minimum Required:

High School DiplomaSpecify Degree(s): Accounting or Business Administration, or related field1-2 years of previous job-related experienceDetails: Past work experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer   service activities is required. Knowledge of insurance and governmental programs, regulations and billing processes e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc., managed care contracts and coordination of benefits is highly strongly preferred. Working knowledge of medical terminology, anatomy and physiology, and medical record coding (ICD-10, CPT, HCPCS) is preferable.

Preferred:

Associates Degree

Licensure/Certifications:

N/A

Computer Skills:

Required:

Microsoft ExcelMicrosoft OutlookMicrosoft Power PointMicrosoft WordPreferred:EPIC

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.