Patient Financial Advocate, Revenue Cycle Management
Overview
Patient Financial Advocate owns front-line and back-end financial support across a high-volume Revenue Cycle Management team. You guide complex insurance, billing, and payment cases while managing payment plans, prior authorizations, and worklists. Join a collaborative team in Houston, onsite, with direct impact on patient experience and clean claims. This role stands out for blending patient advocacy with operational expertise in EHR systems and payer workflows.
What You'll Do10
- 1Own complex patient financial inquiries: insurance verification, billing, and payment options, explaining benefits and out-of-pocket costs.
- 2Guide patients through financial assistance programs, Medicaid eligibility, and charity care applications.
- 3Build and manage patient payment plans with empathy, addressing payment barriers and following up on commitments.
- 4Verify insurance coverage and benefits for high-risk cases, resolving escalated discrepancies with verification staff.
- 5Support prior authorization and pre-certification processes to prevent claim denials.
- 6Educate patients on billing statements, resolve disputes, and manage escalated collections to minimize bad debt.
- 7Serve as SME for frontline staff, answering complex financial questions and mentoring on insurance and collections workflows.
- 8Collaborate with registration, billing, and clinical teams to ensure seamless revenue cycle operations and clean claims.
- 9Complete assigned financial queues: end-of-day payments, implant authorizations, pre-bad debt worklists, credit balances, refunds, SCA submissions, and returned mail.
- 10Identify process improvements and maintain HIPAA compliance across all interactions.
Requirements10
- 11+ year of insurance verification experience in a healthcare setting.
- 21+ year of patient collections experience with direct patient communication.
- 3High School Diploma or GED.
- 4In-depth knowledge of insurance plans, billing workflows, and revenue cycle operations.
- 5Proven ability to handle sensitive patient conversations with compassion and professionalism.
- 6Strong problem-solving, communication, and conflict-resolution skills.
- 7Proficiency in EHR systems and billing software.
- 8Subject matter expertise across insurance and collections workflows, including Medicaid and charity care.
- 9Experience in a provider setting requiring confirmation of information prior to service.
- 10Detail-oriented and analytical in managing complex cases while balancing patient advocacy with organizational financial goals.
Salary Insight
Salary not disclosed in listing
Location
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