Senior Patient Financial Advocate - Owensboro, KY

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Senior Patient Financial Advocate conducts our team training along with high volume special projects such as estimates (this keeps us compliant with the NSA), Emergency Medicaid, and Spend Downs. This role also generates revenue by handling high volumes of patient calls and providing telephonic customer service with a basic knowledge of all areas of the Revenue Cycle. Provide support with billing questions, patient payments, patient inquiries, processing assistance application, helping get insurance coverage, and resolving patient issues. Last month this team got 555 Medicaid applications approved, collects an average of $58,000 and processes an average of 650 financial assistance applications a month.

Primary Responsibilities:

• Conducts our team training along with high volume special projects such as estimates (this keeps us compliant with the NSA), Emergency Medicaid, and Spend Downs
• Provides financial advocacy counseling to patients/families to help assure that individuals who are eligible for insurance coverage, premium assistance, and/or financial assistance know about their coverage and payment options and can have the opportunity to obtain in-person assistance with the enrollment and financial assistance process. Delivers education regarding explaining affordability programs, qualified health plans, essential health benefits, and rights when using insurance, as well as Owensboro Health financial assistance programs and financial policies
• Educates patients/guarantors on Owensboro Health financial policies and financial assistance processes and assists them with obtaining coverage, applying for financial assistance, and/or making payments or payment arrangements
• Assists patients/guarantors with opening or accessing an account with KYNect and obtaining help with premium and cost sharing discounts through the Marketplace
• Understands the web-based decision tools and guides patients through the process of narrowing choices for qualified health plans
• Reviews daily census or clinic schedule and identifies any uninsured accounts that require screening or accounts with outstanding balances requiring intervention to discuss payment options
• Makes all efforts to contact uninsured patients in work queues and screens them for appropriate coverage or financial assistance and/or sets up payment arrangements
• Reviews uncollectible accounts such as deceased patient, bankruptcy, and return mail to send to agencies or attorney for next level of collection process
• Retrieves all necessary documentation of bad debt/charity adjustments as needed for Medicare Cost Report
• Must maintain eligibility as a Certified Application Counselor (CAC) and comply with any licensing, certification, or other standards prescribed by the state, if applicable

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma/GED (or higher)
• 1+ years of experience working on special projects such as estimates, EMA and Spend downs
• Intermediate level of proficiency in the Patient Financial Advocate workflow
• Ability to train new hires in the PFA tasks and responsibilities

The salary range for this role is $19.86 to $38.85 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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