Financial Advocate

Financial Advocate

Maple Grove Hospital | Osseo, MN, 55369, US
Salary Range:$31,000 – $42,000 Salary range estimated by Zippia

Posted 14 days ago

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Requisition Number: 502493

About Maple Grove Hospital

At Maple Grove Hospital, you're welcomed into an inclusive, nurturing health family that treats customers, as well as one another, with compassion and respect. Empathy and care are at the heart of our culture which is designed to actively support wellbeing and growth. The strength of our team lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we create a healing environment that empowers customers to achieve their best health.

About this position

The Financial Advocate's primary function is to perform a thorough financial screening of customers. The Financial Advocate is also Maple Grove Hospital's primary contact for customer education in areas of insurance

benefits, levels of coverage, and billing and collection processes. Responsibilities include ensuring that

all accounts have been cleared for billing, obtaining insurance authorization for services, securing

payment arrangements (including collection of co-payment/coinsurance) prior to customer discharge and for

major outpatient services, identification of other potential payment sources (including Financial

Assistance program, initiating/completing the Medical Assistance application process), and providing

cost estimates. Actively and consistently demonstrates the mission, vision, values and guiding principles of Maple Grove Hospital.

What we'll expect from you

1. Communicates Maple Grove Hospital's financial policy to the customer and/or customer's family representative regarding the specific level of insurance benefit coverage and estimated customer liability.

2. Secures payment arrangements (including collection of co-payments/coinsurance) prior to customer discharge and for major outpatient services.

3. Works collaboratively with other disciplines (social services, case management, customer accounting) in assessing the financial needs of the customer and other possible resources for payment.

4. Maintains advanced working knowledge and understanding of insurance eligibility and benefits to determine principle payers and coordination of benefits for all insurance products.

5. Ensures that all accounts have been cleared for billing to include, but not limited to, verifying the accuracy of the customer's insurance and securing authorizations/certifications if needed.

6. Documents all action performed on accounts by entering Hospital Account Notes in EPIC.

7. Initiates Maple Grove Hospital's Financial Assistance process when applicable by obtaining the customer's financial status and exhausting all other payment sources.

8. Collaborates with department management to identify training and process improvement opportunities.

9. Possesses ability to explain remittance advices and to handle customer billing complaints with proper resolution.

10. Recognizes and complies with legal regulatory, accrediting and procedural requirements related to area of responsibility.

11. Understands and follows principles and standards as outlined in Maple Grove Hospital's Code of Conduct.

12. Protects customer and team member privacy and only accesses customer and/or team member related information as needed to perform job duties.

13. Reports violations or areas of concern to leader or Corporate Compliance Officer via established methods of communication.

14. Performs registration and/or check in functions in all areas of department when need as directed by supervisor or manager.

Other Duties and Responsibilities

* Serves as a back-up to Guest Services Representative in his/her absence.

Interested? Here are our requirements


* High school diploma or equivalent.

Experience, Knowledge, Skills, Abilities

* 2+ years' experience in customer registration, customer accounting, or healthcare related position.
* Ability to handle stressful situations and maintain composure in presence of customers, families, guests, and team members.
* Solid PC skills to include MS applications, Internet, EMR, etc.
* Strong communication skills with demonstrated ability to express ideas and information (both in written and oral form), clearly and concisely in a manner appropriate to the audience.
* Demonstrated ability to deal with conflict in a positive manner. Has an awareness of, responds to, and considers the needs, feelings and capabilities of others.
* Ability to be accountable for quality customer service and respond appropriately to a variety of personalities and situations.
* Ability to maintain quality, safety, and infection control standards.
* Must be able to read, write and speak effectively in English.

Hours per two week pay period: 80

Shift: Day/Evening 8 hours

Weekend Requirement: Every Other Weekend

Work Group: Maple Grove

Call Requirement: Occasional Call

Remote or On-site: On-site

FLSA Status: Non-Exempt

Benefits: Yes

Posting Date: Nov 04 2022