Patient Advocate Representative - St. Vincent in Worcester

Job Summary

Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible.

Essential Duties and Responsibilities

• Conducts interviews with patients and/or family members.
• Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.
• Performs financial clearance function including collections.
• Cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
• Follows up on EES assigned accounts to ensure follow-through on Government application submitted.
• Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
• Conducts field visits to patient homes for skip tracing and or assisting patient with documents.
• Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.

Knowledge, Skills, Abilities

• Working familiarity with the rules and regulations pertaining to Federal, State and County programs.
• P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs.
• Ability to work independently.
• Excellent oral and written communication skills, as well as the clear understanding of the English language.
• Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms.
• Ability to prioritize and manage multiple tasks with efficiency.
• Bi-lingual preferred (Spanish).

Education / Experience

• High School diploma or equivalent.
• Minimum 2 years work experience with Social Services or Hospital Admitting or related area.

Physical Demands

• Ability to sit and work at a computer terminal for extended periods of time.
• Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside.
• Ability to travel if required.

Work Environment

• Both Hospital and Office facilities, in direct contact with Patients and Staff.

Other

• Some travel may be required.

Compensation Pay: $20.71 - $30.94 per hour. Shift differentials of $1.00-$2.50/per hour may be available depending on the shift worked. Conifer observed holidays receive time and a half.

Benefits

• Medical, dental, vision, disability, and life insurance.
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance program, Employee discount program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Tenet participates in the E-Verify program.