Patient Financial Advocate

CarePoint Health • Jersey City, NJ

134d

About The Position

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.

Requirements

• High School Diploma or Equivalent.
• 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.
• Willing and able to travel to other CPH sites when needed.

Nice To Haves

• 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.

Responsibilities

• Screen patients for eligibility assistance programs either bedside or in the ER.
• Assist in the completion of financial assistance applications and obtaining signatures of patients or designee.
• Ask appropriate screening questions to determine which financial assistance patients are qualified for.
• Analyze 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.
• Answer telephone calls promptly and courteously using the approved greeting/scripting.
• Check and address voice mail messages within one hour.
• Accurately interpret patient requests and screen for all appropriate insurance plans.
• Start application over the phone and clearly identify what documentation is needed/next steps.
• Resolve all issues promptly and respond to all questions/comments with empathy.
• Accurately enter data into the State of NJ PE/New Jersey Family Care systems.
• Ensure that all PE/NJFC confirmations are mailed to patients on a timely basis.
• Accurately enter data into the HMH Financial Assistance workflow system.
• Approve or deny all Charity Care applications within 45 days of submission.
• Open mail, scan documents and enter notes into systems in a timely manner.
• Scan all applications and supporting documentation into HMH document imaging system in audit ready order.
• Complete daily, weekly and/or monthly reports as required.
• Work in collaboration with customers, including patients and applicable HMH departments.
• Provide on-site support to various departments screening patients.
• Attend Get Covered NJ Certified Applications Counselor events as required.
• Perform other duties and/or projects as assigned.

Benefits

• Competitive pay.
• Medical, dental, and vision insurance.
• 401k with Company match.
• Generous paid time off.
• Paid Holidays.
• Tuition Reimbursement.
• Advancement and career development opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED