Patient Financial Advisor - Hybrid after on-site training in Portland!

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015.Position SummaryThe Patient Financial Advisor supports Patient Accounts by actively managing the collections process, patient payment plans, and the Financial Assistance Program. They must have fundamental knowledge of all payers, including government, commercial, worker’s compensation and liability payers. The Advisor must gain a familiarity with many payer policies and procedures, including rules for claims appeals, rules regarding the use of ABNs, payer website navigation, coordination of benefits, and filing limits to work with Billing Specialists to obtain payment for services rendered from the appropriate party. The Patient Financial Advisor will also assist as needed with incoming calls from patients for a host of reasons including but not limited to; statement disputes, difficult collection issues, insurance questions, making payments, financial assistance, and patient quality issues. In addition, the Patient Financial Advisor will also make outbound collection calls to obtain payment on accounts, discuss payment plans, Financial Assistance. The Advisor must also apply critical thinking skills and judgment to coordinate resolution of patient questions with coding, providers, PSRs and clinical staff on a regular basis.Job DescriptionKey Outcomes:Prioritize workload to align with department metrics and goals Answer incoming patient calls as needed to address patient issues or concernsEvaluate and monitor payment plans to balance patient’s financial considerations with timely revenue recovery Work with Billing Specialist to process and manage all Financial Assistance Applications in a timely mannerProcess and respond when needed to patient correspondence related to collection issues or concerns via the clinical inboxReconcile Customer Account upon customer requestAct as a resource to the sites, including occasionally traveling to the site to help with any education and training necessaryAssist patients with issues related to accounts in collections and accounts from legacy systemsMaintain positive relationships through communication and commitment to the team and sites and their workMonitor the High Risk/High Dollar account list and the Disengagement list to balance patient’s financial considerations with timely revenue recoveryMonitor Bankruptcy Accounts and act as a liaison with Collection AgencyLearn new workflows and demonstrate flexibility when needed to help other teams or work on special projects identified by managementAll other duties as assignedEducation/ExperienceAssociate Degree or combination of relevant education and experience2+ years related to claims, accounts receivable and/or high volume collections experienceKnowledge of medical terminology, ICD-9 & ICD-10, CPT and HCPCS codingKnowledge of Fair Debt Collections Act and other collections lawExperience with MS Office products preferredSkills/Knowledge/competenciesDemonstrates an understanding of and alignment with Martin’s Point ValuesExcellent customer service skills required. Must possess a high level of interpersonal skills including the ability to respond calmly and make rational decisions in stressful situationsAbility to maintain confidentiality of healthcare data (HIPAA Compliance)Capacity to be cross trained to new payer types as business indicatesAbility to prioritize and manage multiple responsibilitiesDemonstrates significant change agilityAbility to demonstrate MPHC Core CompetenciesTeam playerExcellent organizational skills, written and verbal communication skills and attention to detailThis position is not eligible for immigration sponsorship.We are an equal opportunity/affirmative action employer.Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact jobinquiries@martinspoint.orgDo you have a question about careers at Martin’s Point Health Care? Contact us at: jobinquiries@martinspoint.org