CarePoint Health System · 4 months ago
Patient Financial Advocate
Jersey City, NJ
Full-time
Onsite
Entry Level
1+ years expCarePoint Health is one of New Jersey's leading health care systems, comprised of three hospitals providing coordinated care. The Patient Financial Advocate is responsible for screening patients for eligibility assistance programs and assisting them with financial applications, ensuring compliance with state regulations.
Hospital & Health Care
Responsibilities
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
Qualification
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
Benefits
Medical, dental, and vision insurance
401k with Company match
Generous paid time off
Paid Holidays
Tuition Reimbursement
Advancement and career development opportunities
Company
CarePoint Health System
We are now Hudson Regional Health, Hudson County’s largest health system.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Achintya Moulick MD, MBA, MCh
President & Chief Executive Officer
Ann P Logan
Executive Liaison for CPH System CEO
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