Patient Financial Resolution Advocate

Wmchmid

Other

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Quick Summary

Key Responsibilities

The statements described here are intended to describe the general nature of work being performed by people assigned to this position.

Requirements Summary

EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High school graduate or equivalent PREFERRED QUALIFICATIONS: EXPERIENCE: 1.

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About the Role

~1 min read

Interprets and applies WVUHS financial policies to make appropriate financial decisions and payment arrangements to ensure the financial viability of WVUHS. Prepares and presents fee estimates to current and potential patients. Provides financial education regarding benefits to patient to assist in understanding their personal financial liability. Demonstrates the ability to assertively pursue necessary information and to function independently to secure financial resolution on accounts. Projects a mature problem-solving attitude while dealing with interpersonal conflict, dissatisfied patients and time demands. Maintains knowledge of revenue cycle operations, third party reimbursement, local/state/federal regulations and medical terminology. Knowledge will include at minimum, all aspect of payer relations, claims adjudication, contractual claims processing and general reimbursement procedures. Uses excellent customer service, written and oral communication skills.

Requirements

~1 min read

1. High school graduate or equivalent

1. Two (2) years of experience in a healthcare setting

Responsibilities

~1 min read

1. Ability to accurately utilize applicable computer software and equipment for access processing

2. Demonstrates ability to follow established computer down time procedures.

3. Must have reading and comprehension ability

4. Must be able to communicate effectively

5. Must be able to read and write legible in English

6. Excellent oral and written communication skills

7. Working knowledge of computers

8. Basic knowledge of medical terminology

9. Basic knowledge of third-party payors preferred

10. Basic knowledge of time-of-service collection procedures preferred

11. Basic knowledge of business math preferred

12. Basic knowledge of ICD-9 and CPT coding preferred

13. Excellent customer service and telephone etiquette

14. Must demonstrate the ability to use tact and diplomacy in dealing with others

United States of America (Non-Exempt)

535 SYSTEM Centralized Clearance Center

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.