This position is located at Lutheran Medical Center in Wheatridge, CO
Schedule:Wednesday thru Sunday, weekdays 3PM-11:30PM and every weekend 10AM-630PM Saturday and Sunday.
The FinancialHealth Advocate is responsible for providing financial advocacy counseling toindividuals who are uninsured and under insured.
The Financial Health Advocate determinespatient's medical financial needs by assisting patients in applying forMedicaid coverage, qualifying for State or Federal programs, education of theAffordable Care Act, presenting patients with payment plan options, andidentifying individuals who are in need of Financial Assistance.
This position isresponsible for quality assurance in application processing and procedures,along with adhering to all compliance requirements mandated by CMS, HIPAA,JCAHO, etc.
Acts as liaisonbetween departments located at the care site and/or RSC; fostering opencommunication and team work, utilizing positive and effective communicationwith all team members.
Abilityto apply knowledge of federal and state programs to benefit coverage for thepatient; Medicaid, SSDI, SSI, etc.
Delivereducation in regards to explaining affordability programs, qualified health plans, essential health benefits and rights when using insurance.
Educatepatients about Connect for Health Colorado (C4HCO) meeting with patients inperson or via phone to explain services available, reasons to buy healthinsurance, and options for coverage
Is ableto understand the PEAK and Connect for Health web-baseddecision tools and guide patients through the process of narrowing choices forqualified health plans
Educate and assist patients on affordable paymentplan options while adhering to the SCL payment plan guidelines
Establishesacceptable payment arrangements on self-pay accounts.
Understanding of SCL's Financial AssistancePolicy and procedures.
Knowledge and understanding of the 501rRegulation
Abilityto run and provide estimates to patients for services provided by SCL Health
Collects patient payments andprovides receipt accurately completing all requiredfields
Remaining current with the Connect for HealthColorado programs and maintain certification
Complete, pass, and maintain Colorado's statecertification for CAAS (Certified Application Assistance Site) Colorado'sOutstationing grant program. Along with adhering to the rules and regulationsset forth by the State of Colorado.
Maintains departmental and/or individual workqueues and reports as required
Explains/answers patient billing inquiries andinterprets statement data to resolve accounts
Demonstrates discretion in verbal and writtencommunication with patients and SCL Health staff ensuring patientconfidentiality at all times
Documents patient account notes for all interactions/transactionsin EPIC and/or CAC Tracker
Basic computer knowledge including experience with Microsoft Office Suite.
High school diploma / GED or equivalent
One year Financial Counseling experience and/or insurance knowledge
Excellent customer service skills, both written and verbal.
Interpersonal skills necessary to interact with patients and their families, physicians, nursing personnel and co-workers.
Strong organizational skills and attention to detail.
Ability to multi-task and coordinate more than one event at a time. Professionalism required.
Knowledge of medical terminology and healthcare benefit plans, drug reimbursement programs, Medicare, Medicaid and other third party payers.
Financial Counseling experience - 2+ years
Medicaid / Medicare knowledge
Previous Certified Application Counselor training (CAC) - State and/or Federal
Understanding of State and Federal Programs available to the indigent care population i.e. food stamps, Medicaid expansion,SSI, SSDI, etc.
Ability to read, understand and apply personal tax return information
Ability to read and understand a profit and loss statement
Previous hospital/medicaloffice, medical insurance and/or customer service experience preferred
We reveal and foster God's healing love by improving the health of the people and communities we serve, especially those who are poor and vulnerable.
Inspired by our faith,
•We will be distinguished as the premier person-centered health system and trusted partner.
•We will share accountability with clinicians and other stakeholders to coordinate care across all settin...gs and improve access, quality, health outcomes, and affordability.
•We will grow as community-based health networks to serve more people in partnerships with others who share our vision and values.
Caring Spirit - We honor the sacred dignity of each person.
Excellence - We set and surpass high standards.
Good Humor - We create joyful and welcoming environments.
Integrity - We do the right thing with openness and pride.
Safety - We deliver care that seeks to eliminate all harm for patients and associates.
Stewardship - We are accountable for the resources entrusted to us.