About Job
Join the Cleveland Clinic team where you will work alongside passionate caregivers and provide patient-first healthcare. Here, you will receive endless support and appreciation while building a rewarding career with one of the most respected healthcare organizations in the world.
Patient Financial Advocates help patients navigate financial responsibilities without insurance or insurance not accepted at Cleveland Clinic. In this position, you will prepare estimated costs of services, request deposits for half of the estimated cost of services and discuss with patients whether they are eligible for the government of Cleveland Clinic Financial Assistance Programs. Your efforts can positively impact the lives of patients and their families in numerous ways, offering a unique opportunity to make a lasting difference in your community and beyond.
A caregiver in this position works remotely (OH based) from 9:30AM – 6:00PM.
A caregiver who excels in this role will:
Physical Requirements:
Patient Financial Advocates help patients navigate financial responsibilities without insurance or insurance not accepted at Cleveland Clinic. In this position, you will prepare estimated costs of services, request deposits for half of the estimated cost of services and discuss with patients whether they are eligible for the government of Cleveland Clinic Financial Assistance Programs. Your efforts can positively impact the lives of patients and their families in numerous ways, offering a unique opportunity to make a lasting difference in your community and beyond.
A caregiver in this position works remotely (OH based) from 9:30AM – 6:00PM.
A caregiver who excels in this role will:
- Provide customer service and resolve patient account disputes and balances through establishing payment agreements or charity care.
- 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.
- Communicate with individuals/departments for problem resolution and documentation.
- Track and document each patient issue obtaining resolution within 24 hours.
- Answer all patient incoming calls timely and courteously and log each call in an established tracking format, ensuring timely response.
- Courteously assist walk-in customers from clinical areas and the cashier office.
- Resolve issues and concerns within 24 hours to meet patient's satisfaction.
- Identify and respond to account errors, omissions, refunds, transfers and charge reversals, and keep patients abreast of account disposition.
- Accurately and efficiently correct account errors, adjustments, refunds, transfers and charge reversals within the established PFS policies.
- Prepare and complete adjustments and account corrections within established clinic policies and enter the adjustments and corrections into SIGNATURE.
- 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.
- Review day sheets of daily appointments as appropriate and identify incoming patients carrying a large balance.
- Establish agreement and plan with patients for payment and resolving outstanding balances.
- Evaluate and determine appropriateness for implementing the charity care program for eligible patients according to established CCF guidelines within one billing cycle of discovery.
- High School Diploma or GED
- Experience in a high-volume customer service telephone or direct contact healthcare environment
- In-depth knowledge of patient accounts, including collections, insurance regulations and reimbursement techniques
- Knowledge of third-party payers, Medicare, physician billing and pricing
- Knowledge of CPT and ICD coding requirements and the utilization and applications of both manuals' insurance verification.
- Four years of related experience OR Associate’s Degree in Accounting, Communication, Marketing or a related field and two years of experience
- Banking experience
Physical Requirements:
- 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.
- Ability to perform work in a stationary position for extended periods
- Ability to operate a computer and other office equipment
- Ability to communicate and exchange accurate information
- Follows Standard Precautions using personal protective equipment as required for procedures.
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