Patient and Family Financial Advocate- Full Time

Facility:

Dayton Children's - Main Campus

Department:

Patient Access - Pre-Registration/Prior Authorization

Schedule:

Full time

Hours:

40

Job Details:

To provide in-depth financial advocate services and counseling to the families of all DCH patients and serve as a direct contact for parents with these complex financial needs, billing concerns and work to improve the family's experience. Act in accordance consistent with HIPPA & Fair Collection Practices when interacting with families. Demonstrate appropriate documentation in several systems. Work with team(s) to help prevent negative experiences with billing processes & promote positive experiences within DCH. This is a position requiring excellent customer service, professional phone skills, independent thinking, and advanced insurance/registration techniques. The Patient & Family Financial Advocate will be responsible for collaborating interdepartmentally with Quality Assurance/Utilization review, Admitting Office, Registration and Patient Accounts department. They will comply with notification rules of insurance companies of daily admissions, identifying families needing and providing financial counseling to identify potential third party resources. This may include research and follow-up with parent/legal guardian and insurance companies. Must stay current with third party payer notification process. Responsible for reviewing 100% of all Self-Pay encounters to determine the preferred method of payment, financial assistance for the Inpatient encounter was applied. When needed provide financial assistance to our surgery, outpatient families. Handle escalated customer concerns and take ownership over account issues until resolve is reached while providing communication to all parties involved with the concern. All duties shall be performed in a competent, high quality, timely and cost effective manner in accordance with department procedures or protocols. The Patient & Family Financial Advocate will cross cover other areas as needed.

Department Specific Job Details:

Shift:

• Monday-Friday
• 8am-4:30pm

Education:

• High School Diploma or GED required
• Associate’s degree is preferred.
• Financial Advocate orientation modules completed within six (6) months of hire required

Experience:

• Minimum of one (1) year of experience in patient access, patient accounts, customer service, or a large hospital/medical front office is required.
• Two (2) or more years of experience is preferred.

Required Qualifications:

• Proficient in customer service and data collection processes
• Strong analytical and problem-solving abilities
• Demonstrated ability to support, motivate, and collaborate with a team
• Solid understanding of healthcare billing regulations, insurance processes, and compliance requirements
• Excellent organizational and time-management skills

Preferred Qualifications:

• Medical Terminology
• EPIC

Education Requirements:

GED, High School (Required)

Certification/License Requirements: