The PFA (Patient Financial Advocate) is responsible for providing financial advocacy counseling to individuals who are uninsured.
The PFA supports SCL Health's care sites, site PFA/ FC's, and patients. Determining patient's medical financial needs by assisting patients directly or indirectly 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. The Financial Advisor's function as back office support for the onsite Advocates. Providing answers to qualification questions, research, and support.
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.
·Computer knowledge including experience with Microsoft Office Suite.
·High school diploma / GED or equivalent
·2+ years of Hospital site Financial Counseling
·1+ years previous experience ACA enrollment
·Medicaid qualification knowledge
·Understanding of State and Federal Programs available to the indigent care population i.e. food stamps, Medicaid expansion,SSI, SSDI, etc.
·Financial Counseling experience - 3+ years
·Medicare and Insurance knowledge
·Previous Certified Application Counselor training (CAC) - State and/or Federal
·Ability to read, understand and apply personal tax return information
·Ability to read and understand profit and loss statements
Previous hospital/medical office, 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.