Patient Financial Advocate

Thank you for considering a career at Roper St. Francis Healthcare!

Scheduled Weekly Hours:

Work Shift:

HOURS: 8:00am - 5:00pm Monday - Friday

*Billing and Oncology experience a plus. Familiarity with reading Explanation of Benefits. Good customer service experience and experience working with drug companies and charitable foundations preferred.*

Job Summary:

The Patient Financial Advocate (PFA) serves as a key member of the Roper Saint Francis Cancer Center and serves as a conduit between patients and health care providers as they directly assist with the coordination of necessary services and connection to resources including financial both within and outside of the Roper Saint Francis Healthcare system. The PFA provides assistance in the identification and removal of any financial barriers to treatment. This position is responsible for independently determining the acquisition cost / reimbursement ratio of requested therapy to ensure fiscal responsibilities and requirements of the infusion center are met. The PFA utilizes independent judgement in reviewing and validating supporting documentation to ensure medical necessity of requested therapy is met and collaborates with referring practices to correct deficiencies. If unable to approve requested therapy due to the lack of supporting documentation collaborates with the Medical Director for final determination and communication to requesting provider. The PFA is responsible for addressing and resolving billing coding and/or reimbursement issues with Patient Financial Services and Reimbursement Services.

Minimum Qualifications:

Education: High school diploma or equivalent (GED).

Experience: At least 3 years of experience in healthcare billing coding or insurance required. Work experience involving CPT coding and ICD-10 coding is highly preferred. Experience dealing with prior authorization and the review process of insurance company highly preferred.

Licensure/Certification: N/A

Primary Source Verification (if applicable): N/A

Knowledge/Skills: Must Have knowledge of policies procedures and guidelines of National State and Local agencies providing financial sponsorship to patients including but not limited to commercial and governmental payors National grant funding programs and pharmaceutical medication programs. Efficient data entry skills including ability to use spreadsheets excellent organizational skills and the ability to effectively handle multiple priorities and deadlines strong math skills excellent verbal/written communication and interpersonal skills to effectively deal with customers and staff; ability to diplomatically and respectfully deal with customers both in person.

Other: Ability to maintain the confidentiality of sensitive information.

Contacts: Frequent personal contact with patients and their families Patient Financial Services Reimbursement Services teammates physicians and insurance companies.

Work Demands/Environment:

May require long periods of sitting or standing some stooping bending and stretching. Hearing must be in range of phones. Intermittent standing. Intermittent walking. Intermittent sitting. May require lifting or moving items up to 50 lbs. Intermittent lifting/moving patients. Intermittent use of finger/hand dexterity. Frequent reaching with hands/arms. Corrected hearing and vision to normal range. Exposure to blood body fluids or tissue. Possible exposure to infectious materials communicable diseases and/or other conditions common to a healthcare environment. Normal medical office environment. Ability to read and comprehend. Work may be interrupted frequently and potential for extended hours and a variable schedule.

Roper St. Francis Healthcare is an equal opportunity employer.

As a Roper St. Francis Healthcare teammate youre part of a Misson that matters. We support your well-being personally and professionally. Our benefits are built to grow with you and meet your unique needs every step of the way.

What we offer

• Competitive pay incentives referral bonuses and 403(b) with employer contributions (when eligible)

• Medical dental vision prescription coverage HAS/FSA options life insurance mental health resources and discounts

• Paid time off parental and FMLA leave and short- and long-term disability

• Tuition assistance professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

It is our policy to abide by all Federal and State laws as well as the requirements of 41 CFR 60-1.4(a) 60-300.5(a) and 60-741.5(a). Accordingly all applicants will receive consideration for employment without regard to race color national origin religion sex sexual orientation gender identity age genetic information or protected veteran status and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process please contact The Talent Acquisition Team at .