Patient Financial Advocate

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Patient Financial Advocate Location Cleveland Facility Remote Location Department RCM Financial Counseling-Finance Job Code U18012 Shift Days Schedule 8:30am-5:00pm Job Summary Job Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. Patient Financial Advocates assist patients in navigating financial responsibilities when they are uninsured or when their insurance is not accepted at Cleveland Clinic. In this position, you will counsel patients and responsible parties regarding their payment obligations and available options. 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 role works remotely from 8:30 a.m. – 5:00 p.m. To be considered for this position, candidates must reside in the Northeast Ohio area. A caregiver who excels in this role will: Counsel patients regarding insurance benefits and recommend alternative sources of payment and financial assistance by explaining financial responsibilities for services received, payment options and collection procedures to patients and parties responsible for payment. Contact insurance carriers or other sources and act as an advocate for the patient. Initiate process for collecting prepays due and perform follow-up to ensure maximum collection is achieved. Identify and resolve issues related to registration, financial clearance, insurance company authorization requirements, billing, insurance company explanation of benefits, provider-based billing, governmental requirements, HCAP/FAP policies and restrictions, MyAccount and collections. Update and correctly document in appropriate computer systems. Scan letter of agreements and send clinical clearance notifications. Minimum qualifications for the ideal future caregiver include: High School Diploma/GED and three years of experience in a customer-facing role with in-person or phone contact OR Associate’s Degree and two years of experience OR Bachelor’s Degree and one year of experience Preferred qualifications for the ideal future caregiver include: Associate’s or Bachelor’s Degree Epic system experience, specifically with the Resolute module Strong finance background Knowledge of insurance processes, including deductibles, co-insurance, and co-pay responsibilities Prior experience in medical collections, banking, or a similar financial services role Physical Requirements: Ability to communicate and exchange accurate information. Ability to perform work in a stationary position for extended periods. Ability to work with physical records or operate a computer or other office equipment. In some locations, ability to travel throughout the hospital system. In some locations ability to move up to 25 lbs. Personal Protective Equipment: Follows standard precautions using personal protective equipment as required. 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 drug free environment. All offers of employment are followed by testing for controlled substances. 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. 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. If applying for a Florida position, please see the following website for more information on the background screening requirements required by the Agency of Health Care Administration: https://info.flclearinghouse.com/ Please review the Equal Employment Opportunity poster . Cleveland Clinic is pleased to be an equal employment opportunity employer.