Financial Advocate Job at Advocate Aurora Health
Overview
You'll own the financial experience for patients at Advocate Aurora Health, delivering precise cost estimates and securing funding before care. You'll work with Medicaid, Medicare, Marketplace plans, and charity programs across virtual and in-person settings. This role sits in a fast-paced healthcare system where accuracy in billing and compliance with HIPAA and 501R matter daily. You'll act as the bridge between patients and coverage, reducing financial stress and driving hospital revenue.
What You'll Do9
- 1Compute personalized out-of-pocket estimates for insurance plans, including deductibles, coinsurance, and copayments, before scheduled care.
- 2Check each patient's coverage, explain out-of-network and non-covered services, and collect upfront payments for self-pay amounts.
- 3Set up payment plans with clear due dates and amounts for upcoming services.
- 4Interview uninsured patients to qualify for Medicaid, hospital charity care, or other assistance, then complete applications with them.
- 5Run credit scoring to determine eligibility for government and hospital programs, and coordinate with social workers to maximize Medicaid enrollment.
- 6Educate providers and patients on policies like Financial Assistance Policy and Deferral of Care, and update them on current regulations.
- 7Track denials and appeals, using knowledge of insurance rules to resolve billing issues and secure coverage.
- 8Document all patient interactions in a HIPAA-compliant manner, capturing details in the account system.
- 9Work across settings: bedside, Emergency Department, Urgent Care, or virtual, adapting to patient needs.
Requirements9
- 12+ years in Patient Access, healthcare, insurance, or customer service.
- 2High School Graduate or GED/HSED.
- 3Knowledge of insurance plans, including Medicaid, Medicare, and Marketplace options.
- 4Ability to explain HIPAA and EMTALA regulations clearly.
- 5Solid understanding of insurance denials and appeals processes.
- 6Basic medical coding knowledge.
- 7Familiarity with billing, denials, and financial assistance programs.
- 8Comfortable using scripted notes and clear written communication for patient accounts.
- 9Willingness to travel and work in various patient care settings.
Salary Insight
$46 - $71k per year
Location
Required Skills
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