About this role
This role focuses on enhancing patient financial clearance operations through the evaluation and implementation of AI tools. As a Patient Financial Clearance Leader, you will leverage your expertise in financial counselling, charity care, and patient advocacy to optimize revenue capture while improving patient access to financial assistance.
Key Responsibilities- Lead patient financial counselling and financial clearance operations, including charity care screening, financial assistance applications, and self-pay resolution.
- Evaluate AI-generated financial counselling recommendations, eligibility screening outputs, and patient communication drafts for accuracy and appropriateness.
- Screen patients for Medicaid eligibility, charity care qualification, and financial assistance program enrollment.
- Counsel patients on financial obligations, payment plan options, and available assistance programs.
- Coordinate with social work, case management, and billing teams to address complex patient financial situations.
- Develop and maintain SOPs for financial clearance workflows, including pre-service financial screening and point-of-service collections.
- Monitor KPIs including charity care conversion rates, financial assistance enrollment, and point-of-service collection performance.
- Ensure compliance with regulatory requirements for financial assistance programs (501(r) regulations, EMTALA).
- Annotate AI outputs and provide structured feedback to support AI training datasets.
- 5+ years of experience in patient financial counselling, financial clearance, or self-pay revenue cycle management, with at least 2 years in a leadership role.
- Deep knowledge of charity care programs, financial assistance eligibility, Medicaid screening, and self-pay collections.
- Familiarity with 501(r) regulatory requirements and hospital financial assistance policy compliance.
- Experience with point-of-service collections, payment plan administration, and patient financial advocacy.
- Proficiency with EHR platforms (Epic, Cerner) and financial assistance management tools.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to evaluate financial documentation and AI-generated outputs.
- Certified Revenue Cycle Representative (CRCR) or similar revenue cycle certification.
- Experience with presumptive eligibility screening tools and Medicaid enrolment facilitation.
- Background in hospital, health system, or federally qualified health centre (FQHC) settings.
- Familiarity with AI tools and comfort evaluating AI-generated patient financial content.
- Experience developing patient financial education materials and staff training programs.
- Contribute to the development of frontier AI systems in healthcare.
- Collaborate with a world-class AI research organization.
- Gain exposure to cutting-edge AI workflows in healthcare revenue cycle management.
- Opportunity to work on high-impact projects shaping the future of healthcare AI.