Patient Financial Advocate- infusion
Minneapolis Clinic of Neurology Ltd.
Golden Valley, MNFull-time$24.57–31.91/hrSeen 3w agoSeen in employer's feed 1 day ago
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Job overview
The Patient Financial Advocate coordinates infusion referrals, insurance benefits investigations, prior authorizations, and financial assistance programs. The role supports patients with insurance paperwork and costs, works with clinical and billing teams to resolve coverage issues, and maintains accurate infusion tracking and billing information. It also supports process improvements and patient-centered operations at the Infusion Center.
Skills & qualifications
Skills
Qualifications
Full job description
Job Duties
The Patient Financial Advocate and Prior Authorization Coordination
Receive and review infusion referrals to ensure completeness and understanding of specific patient needs.
Contact patients to assist with insurance paperwork and infusion start-up forms.
Perform comprehensive benefits investigations for every patient, including verifying coverage, determining financial responsibility, and discussing costs with the patient before scheduling.
Collaborate with the PFS, PA, and Infusion teams to ensure coverage and authorization are in place prior to appointments.
Confirm co-pay assistance, payer, or manufacturer requirements, and MCN account status prior to infusion.
Apply for and manage financial assistance programs including:
*Grants: Identify eligible patients, apply for funding, track available funds, and maintain renewals.
*Patient Assistance Programs: Determine financial need, complete applications, monitor renewals, and liaise with foundations.
*Co-pay Programs: Identify eligible patients and ensure enrollment for those who qualify.
*Free Drug Programs: Track all enrolled patients, maintain spreadsheets, order and confirm receipt of free drug shipments, coordinate with foundations, and manage retroactive coverage when applicable.
Monitor insurance accumulations (such as out-of-pocket maximums) and transition patients from free drug programs to billable status when thresholds are met.
Ensure start forms are current, accurate, and submitted electronically, when possible, for all infusion medications.
Serve as a resource and expert problem solver for internal teams and external partners, assisting with insurance, authorization, and patient financial issues.
Administrative and Financial Operations Support
Perform administrative and financial tasks to support Infusion Center operations, ensuring an efficient experience for both patients and staff.
Research and maintain knowledge of drug supplier resources, government grants, charitable foundations, and co-pay assistance programs. Communicate new or updated program information to the Infusion Center Manager, PFS Manager, and other stakeholders.
Monitor communication channels including in-baskets and fax folders for insurance issues, prior authorization updates, co-pay and referral forms, and other relevant documents.
Collaborate with Infusion, Scheduling, and Billing teams to resolve discrepancies, billing concerns, and payer-related denials.
Work closely with professional staff to share information, educate team members, and address patient concerns.
Participate in process improvement initiatives by identifying workflow efficiencies and assisting in the implementation of new procedures that enhance patient access and experience.
Manage and reconcile infusion visit tracking reports to ensure accurate and timely billing of all services.
Other Duties as Assigned
*Assist with general departmental initiatives and projects as directed by leadership.
*Support quality improvement activities and contribute to a culture of compassionate, patient-centered care.
*Provide backup support for colleagues during absences or high-volume periods.
Education and Experience:
High School graduate or GED equivalent required. Bachelor's degree in health-related field highly desired.
At least two years of previous medical office experience, preferably in the areas of revenue cycle or financial counseling.
Previous experience with infusion services highly desired.
Knowledge, Skills, and Abilities:
Strong knowledge of health insurance and its impact on billing. Knowledge of prior authorization process.
Patient centered, strong customer service orientation. Excellent communication and interpersonal skills.
Ability to be organized, work independently, exhibit mature judgment, and make sound decisions.
Accurate and precise reading and writing skills. Strong command of the English language; good spelling/grammar.
Knowledge of medical terminology and ICD-10/CPT coding.
Ability to handle confidential information with the utmost judgment and discretion.
Proficiency with MS Office, including Word, Excel, and Outlook. Proficiency with electronic health record.
III. Working Conditions:
Environment:
Normal office environment.
Physical Demands:
Requires long periods of sitting and working at computer terminal.
Equipment Used:
Standard office equipment, including personal computer, telephone, and related technology.
MCN is an Affirmative Action/Equal Opportunity Employer.
Minimum Education Required
High School Diploma or Equivalent
Minimum Experience Required
2 - 20 years
Shift
First (Day)
Number of Openings
1
Public Transportation Accessible
Yes
Veterans Encouraged to Apply
No
Physical Required
Yes
Drug Test Required
Yes
Compensation
$24.57 - $31.91 / Hourly
Postal Code
55422
Job Type
Full Time
Place of Work
On-site
Requisition ID
638046437
Job Benefits
Not specified
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