Job Description

Patient Financial Advocate

The Patient Financial Advocate is responsible to screen patients for eligibility assistance programs either bedside or in the ER.

Assists in the completion of financial assistance applications and obtaining signatures of patients or designee either at bedside, applicable intake office, via the call center or through the mail.

Asks appropriate screening questions to determine which financial assistance patients are qualified for and clearly identifies documentation needed to support applications.

Analyzes documentation such as bank statements, tax forms, attestations, etc. to ensure compliance with State regulations.

Use online insurance eligibility systems to ensure eligibility for assistance.

Answers telephone calls promptly and courteously using the approved greeting/scripting.

Voice mail messages are checked and addressed within one hour.

Accurately interpret patient requests, screen for all appropriate insurance plans, if appropriate, start application over the phone and clearly identify what documentation is needed/next steps.

All issues are resolved promptly and respond to all questions/comments with empathy.

Accurately enters data into the State of NJ PE/New Jersey Family Care systems and ensures that all PE/NJFC confirmations are mailed to patients on a timely basis. Accurately enter data into the HMH Financial Assistance workflow system, add appropriate notes to the account and assign an accurate status for timely follow up.

All Charity Care applications are to be approved or denied within 45 days of submission.

Open mail, scan documents and enters notes into systems in a timely manner.

All applications and supporting documentation are scanned into HMH document imaging system in audit ready order.

Completes daily, weekly and/or monthly reports as required.

Works in collaboration with our customers, including patients and all applicable HMH departments who have patients that require financial assistance.

Provides on-site support to various departments screening patients and ensuring successful reimbursement to those departments.

Attends Get Covered NJ Certified Applications Counselor events as required.

Other duties and/or projects as assigned.

Full Time, Day Shift

Monday - Friday

9:00am - 5:00pm

Required:

• High School Diploma or Equivalent.
• Must be proficient with workflow/work queue systems, Patient Management system, document Imaging, PDF creators, Microsoft Office, and website applications.
• Ability to communicate effectively.
• Attention to detail.
• Must be willing and able to travel to other CPH sites when needed.

Preferred:

• Bi-lingual (Spanish)
• Knowledge of medical terminology and insurance verification.
• One or more years of experience with NJ Charity Care regulations, NJFC program and/or other related financial assistance/counseling programs.

Competitive pay: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity.

Medical, dental, and vision insurance

401k with Company match

Generous paid time off

Paid Holidays

Tuition Reimbursement

Advancement and career development opportunities

CarePoint Health is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.

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