Patient Financial Advocate
Join Cleveland Clinic Weston Hospital’s team of caregivers that remain on the leading edge of technology and education all while consistently providing patient-centered healthcare. As part of Cleveland Clinic’s Florida region, Weston Hospital is recognized as one of the top hospitals in the Miami-Fort Lauderdale metro area and Florida. Here, you will work alongside passionate and dedicated caregivers, receive endless support and appreciation, and build a rewarding career with one of the most respected healthcare organizations in the world.
Patient Financial Advocates counsels' patients who either do not have insurance or their insurance is not accepted at Cleveland Clinic. In this role, caregivers prepare estimated costs of services, request deposits for half of the estimated cost of services and discuss with patients whether they are eligible for government or Cleveland Clinic financial assistance programs.
A caregiver in this position works 8:30AM – 4:30PM.
A caregiver who excels in this role will:
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Provide customer service and resolve patient account disputes and balances through establishing payment agreements or charity care.
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Act as a liaison between the PFS and clinic operations to resolve customer inquiries specifically related to billing and customer satisfaction in a timely manner.
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Communicate with those individuals/departments for problem resolution and documentation.
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Track and document each patient issue obtaining resolution within 24 hours.
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Answer all patient incoming calls timely and courteously and log each call in an established tracking format, ensuring timely response.
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Courteously assist walk-in customers from clinical areas and the cashier office.
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Resolve issues and concerns within 24 hours to meet patient's satisfaction.
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Identify and respond to account errors, omissions, refunds, transfers and charge reversals, and keep patients abreast of account disposition.
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Accurately and efficiently correct account errors, adjustments, refunds, transfers and charge reversals within the established PFS policies.
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Prepare and complete adjustments and account corrections within established clinic policies and enter the adjustments and corrections into SIGNATURE.
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Collect patient account balances by entering and accepting payment installment agreements, discount, cash, money orders and credit card payments according to PFS policies and procedures.
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Review day sheets of daily appointments as appropriate and identify incoming patients carrying a large balance.
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Establish agreement and plan with patients for payment and resolving outstanding balances.
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Evaluate and determine appropriateness for implementing the charity care program for eligible patients according to established CCF guidelines within one billing cycle of discovery.
Minimum qualifications for the ideal future caregiver include:
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High school diploma or GED.
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Experience in a high-volume customer service telephone or direct contact healthcare environment.
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In-depth knowledge of patient accounts which includes collections, insurance regulations and reimbursement techniques.
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Knowledge of third-party payers, Medicare, physician billing and pricing.
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Knowledge of CPT and ICD coding requirements and the utilization and applications of both manuals' insurance verification.
Preferred qualifications for the ideal future caregiver include:
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Four years of related experience.
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Associate’s degree in accounting, communication, marketing or a related field. An associate’s degree may substitute two years of required experience.
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/
Physical Requirements:
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Well lit, air conditioned space in the hospital, noise level is moderate; will spend time sitting at a desk at a workstation and some filing/lifting.
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Ability to perform work in a stationary position for extended periods
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Ability to operate a computer and other office equipment
•Ability to communicate and exchange accurate information
Personal Protective Equipment:
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Follows Standard Precautions using personal protective equipment as required for procedures.
Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility.
Please review the Equal Employment Opportunity poster
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System’s Smoking Policy will be permitted to reapply for open positions after one year.
Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.