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Nemours Children's Health · 3 months ago

Financial Family Advocate I (Admitting)

807 Childrens Way, Jacksonville, FL, 32207, US

Full-time

Onsite

Entry Level

3+ years exp

Nemours is seeking a Financial Family Advocate I to join their team in Jacksonville, Florida. The role involves facilitating communication about financial aspects of treatment, conducting interviews, and assisting families with financial assistance programs. Responsibilities include ensuring compliance with financial resolution policies, analyzing insurance benefits, and supporting Medicaid Enrollment processes.

AssociationHealth Care

Responsibilities

Protects the financial standing of Nemours by performing methodical and thorough financial assessments of our uninsured and/or underinsured patients assisting in applications for federal, state, and local programs

Conduct Pre-Service Financial Screening and Financial Clearance Interviews

Ensure compliance with hospital financial resolution policies, including conducting financial interviews with patients and families to assist with resolution of their account

Initiates and completes charity applications on accounts at risk. This includes Nemours Financial Assistance Programs and Uninsured discount Programs

Ensure productivity of various Workqueues to identify, verify, and assuring all accounts are ready for billing with adequate supporting documentation, within the established time frames

Serves as a support to patients and their family members to assure patients have access to all available funding options, this involves working with private as well as governmental agencies, i.e., private insurance, HMO/PPO’s, Medicaid, Medicare, and Third-Party Liability payers

Convey courtesy, dignity, respect and a positive attitude through words and actions to establish harmonious relationships with all individuals

Demonstrate effective communication and respect by using active listening skills, positive body language and effective verbal, written and electronic forms of communication

Demonstrate care and concern and inclusion when interacting with and informing customers by consistently using A.I.D.E.T and protecting confidentiality and privacy

Aid in customer service resolution with concerns regarding financial services. Including but not limited to giving advice and counsel to patients and guarantors of their rights, responsibilities, and procedures about payment for care

Analyzes insurance benefits or determines self-pay arrangements to create estimates for patient responsibility in the determined timeframes

Educates patients/families of their insurance coverage, non-covered services, and any expected patient responsibility

Handles inbound and outbound calls including but not limited to pre and post service collections, customer service calls and account inquiries

Responsible for quality integrity related work revolving around Accounts Receivable & Self Pay Process

May support with scheduling functions, other projects, and duties as assigned by supervisor

Other duties as assigned

Qualification

Healthcare finance knowledgeCustomer service skillsEpicMedical insurance systemsEMTALA regulationsMedical terminologyCommunication skills

Required

Associate Degree or equivalent of education, training, and experience required

Minimum three (3) years of hospital experience and working knowledge of patient accounting functions including pre-admissions and admission registration will be considered in lieu of an Associate Degree

Minimum one (1) year of experience required

Knowledge of Epic and EMR applications

Must possess excellent customer service and verbal/written communication skills and have knowledge of medical insurance systems, including Medicare, HMOs, PPOs, and commercial insurance

Familiarity with EMTALA regulations, billing procedures, and the collection process is also required

Preferred

Knowledge of medical terminology highly desired

Benefits

Competitive base compensation in the top quartile of the market

Annual incentive compensation that values clinical activity, academic accomplishments and quality improvement

Comprehensive benefits: health, life, dental, vision

Mortgage assistance, relocation packages and 403B with employer match, 457 retirement savings plans

Licensure, CME and dues allowance

Not-for-profit status; eligibility for Public Service Loan Forgiveness

For those living and working in Florida, enjoy the benefit of no state income tax. Those based in Delaware benefit from the state's moderate tax structure.