[Hiring] Patient Financial Advocate @Brown Medicine

Role Description

Under the general supervision and within established hospital and departmental policies and procedures, to serve as a liaison between Brown University Health Cancer Institute (BUHCI), patient and family members to determine the patient’s portion of medical expenses and ascertain, develop and secure resources which may be available to patient and family members for the resolution of medical expenses incurred. Obtains and verifies coverage authorizations for referrals, medications, and procedures, ensuring financial clearance from insurance companies have been received as well as coordinating the insurance denial process.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

Qualifications

• Knowledge of third-party coverage, prior authorization process, referrals, etc.
• Current knowledge of state and federal resources available for needy and disabled, including familiarity with forms and documents necessary to file appeals on denied claims.
• Demonstrated interpersonal skills to effectively communicate with patients, family members, Brown University Health employees, third party payers and state and federal representatives and other government service agencies.
• Ability to operate a computer to access information and to prepare and maintain related records and reports.
• Possess strong medical terminology knowledge and clear knowledge of Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and registration information.
• Strong organizational skills to effectively plan, direct, and manage high volume of orders requiring prior authorization.
• Analytical skills to evaluate effectiveness of workflow, make recommendations for change and to develop, review and evaluate various records and reports.

Requirements

• Two years progressively responsible experience in health care with a heavy emphasis in one or more of the following areas: patient care environment, health care operations, database management, prior authorizations, referrals, documentation, and departmental operations.
• Knowledge of coding in a healthcare environment is a plus.
• Excellent analytical and critical thinking skills and a focus for detail is needed.

Benefits

• Pay Range: $20.96-$34.61
• EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
• Location: The Miriam Hospital - 164 Summit Ave Providence, Rhode Island 02906
• Work Type: PD as required
• Work Shift: Variable
• Daily Hours: Per Diem - As required
• Driving Required: No