Financial Assistance Specialist 1

Tampa General Hospital•Spring Hill, FL

About The Position

The Financial Assistance Specialist works to secure funding for unfunded or underfunded patients and consumers. The role requires knowledge of Managed Care, Medicaid, Medicaid Disability, Medicare, Healthcare Marketplace Insurance, Hillsborough County Health Care Program (HCHCP), Health Care Responsibility Act (HCRA), and Victims of Crime programs, together with strong customer service, time-management, and organizational skills. The specialist submits, tracks, and follows Medicaid, HCHCP, and HCRA applications through completion until approval or denial. All duties are performed in accordance with Tampa General Hospital’s mission, vision, and values.

Requirements

High school diploma or GED.
At least two years of experience in Financial Assistance, Patient Access, or Patient Accounting.
Knowledge of Medicaid, Medicare, Medicaid Disability, and relevant programs.
Knowledge of Patient Access processes.
Proficiency with word processing, databases, spreadsheets, and EMR platforms and applications.
Knowledge of CMS, TJC, and AHCA regulations as they pertain to hospital registration.
Knowledge of English language structure and content, including word meanings and spelling, composition, and grammar.
Ability to communicate effectively orally and in writing.
Ability to handle difficult and stressful situations with professional composure.
Skill in collecting personal financial and medical information.
Ability to handle confidential information with discretion.
Knowledge of Financial Assistance and charity processes.
Ability to analyze, organize, and prioritize work while meeting multiple deadlines.
Ability to recognize the appropriate medical coverage order.
Ability to identify and/or calculate patient responsibility, including copays, deductibles, out-of-pocket maximums, and coinsurance.
Extensive knowledge of Managed Care, Medicaid, Medicaid Disability, Medicare, Healthcare Marketplace Insurance, HCHCP, HCRA, and Victims of Crime programs.
Expertise in customer service, time management, and organization.

Responsibilities

Interview private-pay and under-insured patients to determine eligibility for government financial assistance programs.
Assess patients’ financial capabilities.
Prepare charity-care applications, including the Utilization Letter (EA Letter) for illegal aliens as required by the Department of Children & Families (DCF).
Obtain documentation required by government agencies, including Social Security Disability (SSI/SSD) documentation; contact patients or their families as needed, including after discharge.
Submit assistance applications to the appropriate agency within specified timely-filing requirements.
Track applications and document their location, status, approval, or denial.
Attend DCF hearings to appeal cases closed in error or denied.
Notify the Financial Assistance Specialist Team Lead of approvals or denials.
Explain financial accountability to the patient and/or guarantor or family.
Obtain a LifeTime Reserve Days letter for Medicare patients.
Follow up on Workers’ Compensation (W/C) and auto admissions with missing billing information.