Financial Advocate Resume Samples

A Financial Advocate generally works in the healthcare setting and undertakes responsibility for assisting patients, and their families to access financial resources. While the exact job description differs based on the type of work setting, the following common duties are identified on the Financial Advocate Resume – assisting social services with guidance to patients who qualify for financial assistance, clarifying the financial related queries and doubts of the patients, assisting in exploring options for financial assistance for medical services, obtaining necessary insurance information for patients, answering questions of directing patients to appropriate staff members; solving account balance issues, and developing an appropriate template of charges by care regimen to assist patients.

The nature of the work demands the following skills – the ability to maintain confidentiality, strong interacting skills, the ability to provide correct information to the patient and their family members, interpersonal skills to connect with social services, and knowledge of current resources and programs, and awareness of philosophy of care. A bachelor’s degree in social work or a related field is compulsory to work at this level.

 

Financial Advocate Resume example

Financial Advocate Resume

Summary : As a Financial Advocate, responsible for Serving consumers in various settings, including virtual, bedside, Emergency Department room, clinic exam room, Urgent Care, consult space, or a Financial Resource Specialist office.

Skills : Microsoft Office, Sales, Sales, Marketing.

Description :

    1. Acted as a liaison between the facility and the uninsured, underinsured, and/or patients with large outstanding balances to assess the patient's needs for financial assistance.
    2. Identified any available assistance programs as well as screens and evaluates the patient's ability to pay and coordinates a mutually acceptable payment plan.
    3. Educated the patients on the cost of care and assists them in the management of their financial responsibility.
    4. Interview qualified patients for various potential funding sources and completes all necessary applications or paperwork for potential coverage(s) identified.
    5. Problem-solved with all parties as necessary to help address insurance coverage gaps via alternative funding options.
    6. Provided information regarding internal and external assistance programs and assists with the process.
    7. Updated hospital and clinic patient accounting information system with appropriate information.
Years of Experience
Experience
7-10 Years
Experience Level
Level
Management
Education
Education
GED


Financial Advocate Resume

Summary : Detailed-oriented and dependable professional with 13 years of experience providing superior customer service and administrative support within the home health, banking, and health care industries. My focus is to utilize my knowledge of medical terminology, insurance policies and experience in CPT and ICD-10 and use it to orchestrate a smooth flow of operations.

Skills : Excellent Communication , Excellent customer service .

Description :

    1. Responsible for counseling patients and families, and facilitating the resolution of patient billing issues making mutually satisfactory payment arrangements.
    2. Problem solved with all parties as necessary to help address insurance coverage gaps via alternative funding options.
    3. Investigated and responded to all phone and written inquiries from patients/guarantors, insurance companies, and physician offices regarding estimated cost of services for Aurora patients.
    4. Placed calls to outside sources for additional information to ensure that inquiries are resolved in a timely manner with the highest degree of accuracy and courtesy.
    5. Worked cooperatively with other departments, physicians, third party payers, government officials, patients and their families with an emphasis on identifying any potential patient out-of-pocket expenses.
    6. Assisted in verification of proper CPT and diagnosis coding is entered in the practice management system based on the level of service provided and documented in the electronic health record by provider.
    7. Communicated with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims.
Years of Experience
Experience
10+ Years
Experience Level
Level
Senior
Education
Education
Bachelor Of Science


Financial Advocate Resume

Headline : Highly qualified Financial Advocate with experience in the industry. Enjoy creative problem solving and getting exposure on multiple projects, and I would excel in the collaborative environment on which your company prides itself.

Skills : Advanced Microsoft Excel, Human Resources, Mathematics, Business Management, Inventory Management, Sales, Training, Communication, Benefits, Insurance, Finance, Administrative.

Description :

    1. Interviewed qualified patients for various potential funding sources and completes all necessary applications or paperwork for potential coverage(s) identified.
    2. Notified affected department as appropriate.
    3. Acted as a liaison between health services and the consumer to provide education on costs, funding possibilities and payment options. 
    4. Educated consumers on the cost of care and assists them in the planning and management of their financial responsibility.
    5. Pre-screened self-pay patients to determine if they are eligible for coverage programs and assists patients or family members with completing financial assistance applications, as necessary.
    6. Calculated and provided patients with personalized estimates of their financial responsibility based on their insurance coverage prior to service.
    7. Communicated patient liability clearly and accurately while adequately explaining concepts such as deductibles, coinsurance, and/or copayments and how they may affect the cost of care. 
              Years of Experience
              Experience
              5-7 Years
              Experience Level
              Level
              Executive
              Education
              Education
              MS

              Financial Advocate Resume

              Headline : To utilize my strengths, strong customer service, leadership and organizational skills in a challenging atmosphere where perfect service and customer satisfaction is the primary goal.

              Skills : Microsoft, Type 60 Wpm, Medical Terminology, Patient Access, Supervisor.

              Description :

                1. Conducted interviews with patients by phone and in person to negotiate payment schedule to assure account balance will be met.
                2. Processed financial applications for approval and submitted for account write offs and or adjustments.
                3. Identified Medicaid eligibility to vendor and make placement.
                4. Officiated onsite financial orientations for patients to attend and educate the financial program for assistance.
                5. Scheduled, rescheduled, and canceled appointments as necessary.
                6. Programmed used are QuadraMed, ORSOS, Net Access, and other softwares to identify patients needing to be contacted on a daily basis for financial clearance.
                7. Explained how non-covered and out-of-network services factor into the out-of-pocket cost.
              Years of Experience
              Experience
              5-7 Years
              Experience Level
              Level
              Junior
              Education
              Education
              Diploma

              Financial Advocate Resume

              Objective : Financial Advocate with 3+ years of experience in working closely with the multidisciplinary team and the patient to assist patients with financial or insurance questions, and also Entering clear and timely documentation in the EHR.

              Skills : Team Oriented, Detail-Oriented.

              Description :

                1. N M Researched patient accounts to insure data was up to date and accurate, Note patient accounts with balances owed.
                2. Input data and keep running spread sheet daily of amounts collected for end of week reports.
                3. Communicated with insurance companies regarding benefits and payments & denials.
                4. Made necessary corrections to billing for resubmitting claims.
                5. Corrected insurance information to insure proper billing.
                6. Counseled clients regarding their financial responsibility.
                7. Answered insurance questions and setting up payment plans per company policy.
              Years of Experience
              Experience
              2-5 Years
              Experience Level
              Level
              Executive
              Education
              Education
              MS

              Financial Advocate Resume

              Headline : To obtain a Financial Advocate position that will enable me to utilize my strong organizational skills, computer knowledge, and ability to work well with people in a challenging environment to achieve corporate goals.

              Skills : Team Work, Patient Care.

              Description :

                1. Requested upfront payment toward self-pay amounts, including estimated out-of-pocket costs and outstanding previous balances. 
                2. Established payment arrangements in advance of scheduled services when applicable, communicating due dates and the amount of each installment.
                3. Interviewed uninsured patients to assess for qualifying financial needs. 
                4. Identified available assistance programs and coordinates with patient to complete paperwork and applications for any potential coverage(s). 
                5. Continued follow-up efforts to obtain a funding source for patients health services.
                6. Initiated credit scoring to determine each patients eligibility for Medicaid, hospital-sponsored charity care, and other programs through a comprehensive patient interview.
                7. Demonstrated working knowledge of insurance benefits, insurance companies, and Marketplace insurance options, and stays informed of other payer sources entering the markets.
                        Years of Experience
                        Experience
                        5-7 Years
                        Experience Level
                        Level
                        Executive
                        Education
                        Education
                        MS

                        Financial Advocate Resume

                        Summary : Results-oriented Financial Advocate with a strong background in verification, authorization, referral, benefits in hospital, clinical, and third-party settings. Continue as a proactive and strong employee with leadership skills and techniques to generate accomplishments and goals within a driven workplace environment as a team leader who is currently leading 11 verifiers of a large hospital.

                        Skills : Powerpoint, Publisher.

                        Description :

                          1. Conferred with guarantor/patient, Medical Staff and other hospital/clinic personnel in order to ensure prompt and full payment on accounts.
                          2. Documented all conversations and actions taken into the Practice Management System.
                          3. Accepted payment by phone and established payment arrangements according to established policies.
                          4. Worked with collection agencies and virtual liaison to resolve account balances.
                          5. Received and routed all miscellaneous calls.
                          6. Updated demographic insurance information into the billing system as appropriate.
                          7. Educated physician office/patient on the organizations applicable policies such as Financial Assistance Policy, Patient Financial Responsibility, Non-Covered Services, and Deferral of Care. 
                          Years of Experience
                          Experience
                          7-10 Years
                          Experience Level
                          Level
                          Management
                          Education
                          Education
                          MS

                          Financial Advocate Resume

                          Summary : To secure a position in the field of Financial Advocate. To expand on my years of experience in the office setting, and utilize my education and personal interest in the Human Resource field.

                          Skills : Microsoft Officer, Excel, IDX, Paragon, Insurance Verification.

                          Description :

                            1. Helped qualify for medical cards.
                            2. Approved financial assistance.
                            3. Kept accounts current.
                            4. Set up payment plans.
                            5. Accepted payments.
                            6. Responsible for filing patient medical insurance and accurately posting insurance payments.
                            7. Achieved a 95% collection rate on all insurance claims and billings.
                          Years of Experience
                          Experience
                          7-10 Years
                          Experience Level
                          Level
                          Management
                          Education
                          Education
                          High School Diploma

                          Financial Advocate Resume

                          Headline : Financial Advocate professional with a combined 10 plus years of insurance, healthcare, and revenue cycle management experience in both a hospital and corporate environment. My background includes extensive knowledge of HIPPA, patient access revenue cycle management, POS collections, financial counseling, eligibility and insurance verification, claims billing, processing and appeals including medical and fraud review.

                          Skills : Microsoft Office, SUpervising Skills.

                          Description :

                            1. Provided follow up services for other Wheaton Fraciscan locations and patients.
                            2. Courses included the following; HIPAA Training and Compliance, Customer Service, Communications (including proper phone and email etiquette) and Support, Health Insurance Exchange, Patient Privacy and Confidentiality Rights.
                            3. Counseled all in-patients (15-20) daily on medical treatment costs, insurance benefits, and medical billing process (deductible, co-insurance, out of pocket max).
                            4. Collected balances owed by patients.
                            5. Generated value to employer and to patients by coordinating patient applications and processing paperwork needed to apply for additional benefits (Medicaid, Medicare, and Social Security Disability).
                            6. Interfaced with patients and insurance companies to resolve discrepancies and/or wrong CPT or diagnostic codes on insurance claims.
                            7. Coordinated with provider office to determine scheduling options based on the need to secure funding and clarify patients financial responsibility.
                            Years of Experience
                            Experience
                            5-7 Years
                            Experience Level
                            Level
                            Executive
                            Education
                            Education
                            MS

                            Financial Advocate Resume

                            Summary : Financial Advocate professional seeks a role utilizing her leadership skills in conjunction with her procurement and operational experience in the pharmaceutical industry.

                            Skills : Microsoft Office, Team Work.

                            Description :

                              1. Discussed insurance benefits and payment options.
                              2. Maintained office hours for billing disputes, claims, and general inquires.
                              3. Liaison to county offices for appropriate Medicaid claims.
                              4. Implemented the department at a newly acquired hospital and established their office routines, policies, and procedures.
                              5. Used Analytical, problem solving, customer service.
                              6. Worked in conjunction with state social worker and/or outside eligibility vendor to assist in the appropriate completion of Medicaid applications, ensuring this funding source is maximized based on patients eligibility.
                              7. Understood and complied with all internal charity care policies and processes. 
                              Years of Experience
                              Experience
                              10+ Years
                              Experience Level
                              Level
                              Senior
                              Education
                              Education
                              Bachelor Of Business Administration