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Provided by the employer
Verified Pay check_circle $22.90 per hour
Hours Full-time
Location Grafton, Wisconsin

About this job

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Educates consumers on the cost of care and assists them in the planning and management of their financial responsibility. Pre-screens self-pay patients to determine if they are eligible for coverage programs and assists patients or family members with completing financial assistance applications, as necessary./ppCalculates and provides patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service./pp/ppCommunicates patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care. Explains how non-covered and out-of-network services factor into the out-of-pocket cost./pp/ppRequests upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances. Establishes payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment./pp/ppInterviews uninsured patients to assess for qualifying financial needs. Identifies available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s). Continues follow-up efforts to obtain a funding source for patient’s health services./pp/ppInitiates credit scoring to determine each patient’s eligibility for Medicaid, hospital-sponsored charity care, and other programs through a comprehensive patient interview./pp/ppWorks in conjunction with state social worker and/or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients’ eligibility./pp/ppDemonstrates working knowledge of insurance benefits, insurance companies, and Marketplace insurance options, and stays informed of other payer sources entering the markets./pp/ppEducates physician office/patient on the organization’s applicable policies such as Financial Assistance Policy, Patient Financial Responsibility, Non-Covered Services, and Deferral of Care. Coordinates with provider office to determine scheduling options based on the need to secure funding and clarify patient’s financial responsibility./pp/ppStays current on regulations and eligibility requirements for government funding, especially Medicare and Medicaid. Understands and complies with all internal charity care policies and processes. Understands, complies with, and can articulate federal regulations around 501R. Performs in a HIPAA-compliant manner with all pertinent patient interviews, including management of demographic data, topics discussed, and actions taken./pp/ppCollaborates with peers in the operational flow for uninsured patients or patients that are concerned about costs for upcoming services. Serves consumers in various settings, including virtual, bedside, Emergency Department room, clinic exam room, Urgent Care, consult space, or a Financial Resource Specialist office./pp/pp/ppbRequired Functional Experience/b/pulliTypically requires 2 years of experience in Patient Access, health care, insurance industry, or in a customer service setting./li/ulp/ppbKnowledge, Skills amp; Abilities/b/pulliAbility to communicate clearly and proactively to management about issues involving customer service and process improvement opportunities./liliAbility to articulate explanations of HIPAA and EMTALA regulations as they relate to all patient interactions within the operational flow involving the Financial Advocate, either virtually or in person./liliHas solid knowledge of how various types of insurances operate related to denials and appeals processes./liliBasic medical coding knowledge. Understanding of insurances, billing and denials./liliAbility to use a combination of scripted notes and clear, written communication when documenting in patients’ accounts./li/ulp/pp/ppbDegrees/b/pulliHigh School Graduate, or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED)./li/ulp style="text-align:inherit"/pp style="text-align:inherit"/pp style="text-align:left"bOur spanspan class="WKM0"Commitment to You:/span/span/b/pp style="text-align:inherit"/pp style="text-align:left"Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:/pp style="text-align:inherit"/pp style="text-align:left"bCompensation/b/pulliBase compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training/liliPremium pay such as shift, on call, and more based on a teammate#39;s job/liliIncentive pay for select positions/liliOpportunity for annual increases based on performance/li/ulp style="text-align:inherit"/pp style="text-align:left"bBenefits and more/b/pulliPaid Time Off programs/liliHealth and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability/liliFlexible Spending Accounts for eligible health care and dependent care expenses/liliFamily benefits such as adoption assistance and paid parental leave/liliDefined contribution retirement plans with employer match and other financial wellness programs/liliEducational Assistance Program/li/ulp style="text-align:inherit"/pp style="text-align:inherit"/pp style="text-align:inherit"/pdivdivdivdivdivdivdivdivdivdivdivdivdivdivdivdivp style="text-align:inherit"/pp style="text-align:left"bAbout Advocate Health /b/pp style="text-align:inherit"/pp style="text-align:left"a href="https://www.advocatehealth.org/" target="_blank"Advocate Health/a is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names a href="https://www.advocatehealth.com/" target="_blank"Advocate Health Care/a in Illinois; a href="https://atriumhealth.org/" target="_blank"Atrium Health/a in the Carolinas, Georgia and Alabama; and a href="https://www.aurorahealthcare.org/" target="_blank"Aurora Health Care/a in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with a href="https://school.wakehealth.edu/" target="_blank"Wake Forest University School of Medicine/a serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits./p/div/div/div/div/div/div/div/div/div/div/div/div/div/div/div/div

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Posting ID: 1239784535 Posted: 2026-03-05 Job Title: Financial Advocate Site