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Appleton, Wisconsin, United States · On-site
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Full-time
high school
Health Coaches, Relaxation Rooms, Health Focused Apps, Mental Health Support, Minimal Or Zero Copays, Team Member Cost Sharing Premiums
Posted 45d ago
~40 hrs/week
Responsibilities
The Patient Financial Advocate secures financial assistance and insurance authorizations for patient treatments and medications. They collaborate with clinical teams and patients to create financial plans that minimize liability and ensure timely access to care.
Requirements
A high school diploma or GED is preferred, and candidates must be at least 18 years of age. The role requires the physical ability to move throughout a campus and lift up to 25 pounds.
Full job description
Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness –
Lifestyle Engagement
e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support
Access & Affordability
e.g. minimal or zero copays, team member cost sharing premiums, daycare
The Patient Financial Advocate advocates for financial assistance for patient treatments and medications by providing access to drug assistance programs. Reviews orders and checks for authorization of insurance payments. Ensures appropriate medical necessity of treatments as it pertains to insurance payment. Works collaboratively with the patient, the clinical treatment team, and various departments to establish a financial plan of action that minimizes the financial liability incurred by patients while facilitating the patient’s timely access to care.
Job Description:
Schedule: Day Shift, No Weekends, No Holidays
Located in Appleton
KEY ACCOUNTABILITIES:
Uses knowledge of current payor requirements, medical necessity, and medical coding to request authorization to determine if services are reimbursable. Reviews daily revenue sheets and makes corrections as needed.
Performs pre-authorizations for services per insurance requirements. Understands services provided while utilizing NCCN guidelines to ensure accurate and timely claim submission.
Ensures accurate documentation of verification of benefits and authorization of services. Ensures proper documentation for Medicare and bundling compliance to achieve accuracy of patient charges and correct reimbursement for services rendered.
Serves as subject matter expert to providers and others regarding documentation requirements for accurate charge capture.
Demonstrates ability to act with sensitivity to assist and inform patients about costs of services integrated with the patient’s insurance coverage and limits. Reviews patient financial/insurance considerations and collaborates with multiple providers, payors, and patient accounting as appropriate to effectively and efficiently obtain proper authorization for services.
Contacts and/or meets with patients to discuss pre-authorization outcomes, billing questions, denials, or concerns. Refers patients to patient accounting as appropriate.
Supports patients in obtaining foundation/grant money to aid in medication coverage or refers them to other financial support services when need is identified.
QUALIFICATIONS:
High School diploma or GED preferred
Must be 18 years of age
PHYSICAL DEMANDS:
Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
WORK ENVIRONMENT:
Climate controlled office setting with daily movement throughout the campus
Interaction with department members and other healthcare providers
Frequent sitting with movement throughout office space
Use of computers throughout the work day
Frequent use of keyboard with repetitive motion of hands, wrists, and fingers
Scheduled Weekly Hours:
40
Scheduled FTE:
1
Location:
ThedaCare Regional Cancer Center - Appleton,Wisconsin
Empowering Northeast and Central Wisconsin residents to live their best lives through access to outstanding care.
Industry
Hospitals and Health Care
Company size
5,001-10,000 employees
Founded
1909
Headquarters
Neenah, WI
LinkedIn followers
24,945
Froedtert ThedaCare is an integrated health care system serving nearly half of Wisconsin’s population. Its 28,000+ team members, physicians and clinicians are transforming communities through prediction, prevention and partnerships with excellence in primary and specialty care in 20 hospitals and more than 360 outpatient locations. Together with the Medical College of Wisconsin, we form the region's only academic medical center, providing the foundation for groundbreaking medical research and excellence in education to accelerate discovery and drive innovation. The system is uniquely positioned to be the trusted partner in advancing the health of our communities.
Offices: 101 N Commercial Street, Neenah, WI 54956, US
How many Administrative jobs are open in Appleton, WI right now?
There are currently 164 open administrative positions in Appleton, WI listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Administrative roles in Appleton, WI?
Companies currently hiring include ThedaCare, Ascension, U.S. Venture, Inc., Paul Davis Restoration, Inc., Bergstrom Automotive, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Administrative jobs in Appleton, WI?
Yes — 10 of the 164 open administrative positions offer remote or hybrid work (2 remote, 8 hybrid).
How do I apply for Administrative jobs in Appleton, WI?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.