This position is located at Lutheran Medical Center in Wheatridge, CO with a schedule of Wednesday thru Sunday, weekdays 3p-1130p and every weekend 10a-630p Saturday and Sunday.
The Financial Health Advocate is responsible for providing financial advocacy counseling to individuals who are uninsured and underinsured.
The Financial Health Advocate determines patient's medical financial needs by assisting patients in applying for Medicaid coverage, qualifying for State or Federal programs, education of the Affordable Care Act, presenting patients with payment plan options, and identifying individuals who are in need of Financial Assistance.
This position is responsible for quality assurance in application processing and procedures, along with adhering to all compliance requirements mandated by CMS, HIPAA, JCAHO, etc.
Acts as liaison between departments located at the care site and/or RSC; fostering open communication and team work, utilizing positive and effective communication with all team members.
Ability to apply knowledge of federal and state programs to benefit coverage for the patient; Medicaid, SSDI, SSI, etc.
Deliver education in regards to explaining affordability programs, qualified health plans, essential health benefits and rights when using insurance.
Educate patients about Connect for Health Colorado (C4HCO) meeting with patients in person or via phone to explain services available, reasons to buy health insurance, and options for coverage
Is able to understand the PEAK and Connect for Health web-based decision tools and guide patients through the process of narrowing choices for qualified health plans
Educate and assist patients on affordable payment plan options while adhering to the SCL payment plan guidelines
Establishes acceptable payment arrangements on self-pay accounts.
Understanding of SCL's Financial Assistance Policy and procedures.
Knowledge and understanding of the 501r Regulation
Ability to run and provide estimates to patients for services provided by SCL Health
Collects patient payments and provides receipt accurately completing all required fields
Remaining current with the Connect for Health Colorado programs and maintain certification
Complete, pass, and maintain Colorado's state certification for CAAS (Certified Application Assistance Site) Colorado's Out stationing grant program. Along with adhering to the rules and regulations set forth by the State of Colorado.
Maintains departmental and/or individual work queues and reports as required
Explains/answers patient billing inquiries and interprets statement data to resolve accounts
Demonstrates discretion in verbal and written communication with patients and SCL Health staff ensuring patient confidentiality at all times
Documents patient account notes for all interactions/transactions in 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
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/medical office, medical insurance and/or customer service experience preferred
Proficient computer skills. 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
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.