Patient Access Team Lead - Patient Access - Beavercreek - FTDays
Patient Access Team Lead - Patient Access - Beavercreek - FTDays
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Kettering Health is a notforprofit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with highquality care for every stage of life. Our serviceoriented mission is in action every day whether its by providing care in our facilities training the next generation of health care professionals or serving others through international outreach.
Campus Overview
Soin Medical Center
- Soin Medical Center has been serving residents of Greene Western Clark Eastern Montgomery and Miami countiessince 2012.
- Conveniently located off I675 in Beavercreek.
- Provides a variety of health care services and is home to 4 accredited Centers of Excellence including hernia and robotic surgery.
- In 2020 Soin received an A from the Leapfrog Group a national patient safety watchdog ranking among the safest hospitals in the United States.
- Received 4 Star BabyFriendly Hospital status by the Ohio Hospital Association.
- Soin received several awards from Healthgrades
- Patient Safety Excellence Award
- Outstanding Patient Experience Award
Responsibilities & Requirements
Patient Financial Advocate Specialist
This individual is responsible for prescreening and enrolling selfpay (uninsured and underinsured) patients for external financial assistance programs with a primary focus on Medicaid. This individual is also responsible for assisting patients in the process of completing financial assistance applications educating them about their financial responsibility and helping them identify a path toward resolving their balances. This role involves communicating with patients both in person and over the phone and requires a high level of customer service
- Prescreens uninsured and underinsured patients to identify potential financial assistance opportunities.
- Assists patients without valid insurance coverage with enrollment in programs including but not limited to Medicare Medicaid and other statebased assistance programs.
- Ensures financial assistance applications are accurately filled out and complete before approval.
- Works in conjunction with onsite state social worker or outside eligibility vendor to assist and complete the appropriate completion of Medicaid applications ensuring this funding source is maximized based on patients eligibility.
- Initiates comprehensive interviews to determine each patients eligibility for Medicaid hospitalsponsored charity care and other programs.
- Provides patients with personalized financial assessmentbased KH financial program guidelines Insurance coverage and estimated patient liability.
- Initiates payment arrangements collect patient liability after financial assistance has been determined and applied.
- Educates patients on their insurance coverage such as by providing explanations of common terms (e.g. copay); their billing statements to prevent confusion; and any other questions patients may have about their financial responsibility.
- Stays informed of any statutes and regulations that could affect the collection of receivables (e.g. insurance company changes collection regulations etc.
Preferred Qualifications
Minimum Education
- High school diploma or GED required
- At least two years of appropriate work experience that would indicate a high level of communication skills and organizational ability.
Minimum Work Experience
- Financial counseling eligibility screening and/or Medicaid application processing experience strongly desired
- Prior experience performing community outreach preferred
- Familiarity with statutes and regulations that can impact financial conversations
Required Skills
- Broad knowledge of government Advocate programs guidelines and application procedures
- Strong written and verbal communication skills
- Ability to effectively translate medical and administrative language into more familiar terminology Strong attention to detail
- Ability to comply with procedural guidelines and maintain confidentiality
Employment Type
Full-Time
