Financial Family Advocate I jobs in United States
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Nemours Children's Health · 12 hours ago

Financial Family Advocate I

Nemours Children's Health is seeking a Financial Family Advocate I to join their team in Orlando, Florida. The role involves providing financial guidance and support to patients and families regarding their healthcare costs and financial assistance options, while ensuring compliance with relevant policies and regulations.

AssociationHealth Care

Responsibilities

Utilizing high-level customer service, healthcare finance knowledge, and excellent communication skills, the Family Financial Advocate will facilitate, educate, and communicate to patients/families about the financial aspects of seeking treatment at Nemours
Serve as a resource to other PFS and clinical teams
Work involves conducting interviews, gathering, assembling, and reviewing sensitive information supplied by applicants, relevant to the initial and on-going Nemours Financial Assistance Policies and Medicaid Programs
The Family Financial Advocate will work directly with insurance carriers or with internal insurance verification personnel to determine benefit level, coordination of benefits, coinsurance and deductible amounts and communicate financial obligations to the guarantor
This role will be responsible for determining a suitable financial assistance program for each family identified as being in need, developing payment arrangements, collecting prepayments (pre-service deposits and out of pocket costs), providing cost estimates to patients and providers, and approving discounts in accordance with organizational and government policies
In addition to providing financial assistance and resources, the Family Financial Advocate will research and address a broad range of inquiries covering items such as insurance regulation and processing protocols, charge discrepancies, benefit interpretation and adjudication
This role is also responsible for supporting the Medicaid Enrollment processes
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 knowledgeEpicInsurance billingFinancial assessmentsCustomer serviceEMR applicationsCommunication skillsActive listeningTeam collaboration

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
Registration, insurance, billing and/or relevant experience
Knowledge of Epic and EMR applications

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
403B with employer match
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.

Company

Nemours Children's Health

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Nemours Children's Health is committed to improving the health of children.

Funding

Current Stage
Late Stage
Total Funding
$10.5M
Key Investors
National Institutes of Health
2021-09-21Grant· $10.5M

Leadership Team

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Mark Mumford
EVP, Chief Operating Officer, Nemours Children's Health
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Kevin Haynes
Chief Privacy Officer
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Company data provided by crunchbase