Financial Advocate

AdventHealth; Florida; Presencial; USD 27.000 - 51.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Benefits from Day One: Medical, Dental

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Descripción de la vacante

AdventHealth in Winter Garden, FL seeks an Eligibility Specialist to support uninsured or under-insured patients, guiding them through government programs and ensuring timely applications.

You will screen, explain requirements, and coordinate with case managers while upholding HIPAA, accuracy, and compliance.

Descripción del empleo

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

900 WINDERLEY PL

City:

MAITLAND

State:

Florida

Postal Code:

32751

Job Description:

• Demonstrates through behavior AdventHealth core values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork as outlined in the organization’s Performance Excellence Program
• Protect the financial standing of AdventHealth by performing methodical and through financial assessments of our uninsured patients and/or under insured patients assisting in applications for federal, state and local programs that pay on behalf of the patient.
• Screen patients and/or patient’s representative to determine potential eligibility for Third Party Resources. Analyze their income, assets, household composition, and physical conditions, while applying government rules and regulations that will assist in presenting a complete case to the respective Government Funded Health Program, i.e. SSA, DCF, SSI, Medicare, Disability, etc.
• Maintain timely and effective communication with patient to ensure complete understanding of Health Program’s processes. Meets with patient or the patient’s representatives either in hospital or other location as designated by supervisor to apply for financial assistance programs.
• Explain to patients and other entities the eligibility requirements, application process and verification requirements for applicable programs. Facilitate the application process when appropriate for the patient by assisting the patient in completing the application, scheduling appointment interviews and obtaining required verifications.
• Represent patients that cannot represent themselves at the offices of Immigration Services, Social Security Administration, Vital Statistics, and Attorney offices, due to their illness. Maintain in communication with Adoption Agencies, Foster Care Program, and Adult Care programs for patients whose cases have been forwarded to these organizations and still pending with no decision.
• Responsible for timely intervention and escalating to the manager for awareness and assistance.
• Maintain, update and have thorough knowledge of policies and procedures, rules, regulations, and technical objectives as they are used by DCF, SSI, SSA, AHCA, Medicare, Benefit Recovery, Child Support Enforcement, Foster Care, Adult Protection, Bureau of Victim Compensation, and Labor Dept; as they apply to patients that are undocumented, legal alien, disabled, children, adopted, emancipated. Complete knowledge of technical requirements needed for a hearing on denied cases and how to overturn decision. Ensures knowledge is shared with Case Management and other key members in the revenue cycle department.
• Meet minimum conversion goals based upon the opportunity to ensure protection of AdventHealth’s financial standing. Meet the minimum standard of accounts and dollars by staying involved with application process from start to decision of all applications. Monitor patient accounts to ensure appropriate processing timeframes are met.
• Enter and update all account notes and enter Medicaid applications on web. Document account activity as required by policies and procedures in order to support account dispositions. Receive approvals from DCF, enter notes. Submit accurate information so accounts can be billed appropriately.
• Responsible for escalating high dollar accounts, aged accounts, and share of cost accounts that exceed a certain period of time to the manager for intervention.
• Adhere to compliance and security regulations including HIPAA by accessing and releasing PHI as minimally necessary to perform duties and according to procedures.
• Responsible for working with external agencies for those who do not cooperate timely. Maintain proper notes for the referral and is responsible to ensure all internal efforts were exhausted prior to the referral to our business partners.
• Responsible for accurately documenting time record for all time worked and maintaining the work schedule as assigned.
• Performs other duties as assigned.

Schedule/Shift:

On-site in Winter Garden, FL. Monday- Friday 7:45am-4:15pm

Knowledge, Skills, and Abilities:

• Substantial knowledge of the state Medicaid application process. [Required]
• Understand HIPAA privacy rules and adroit ability to use discretion when discussing patient-related information that is confidential in nature as needed to perform duties. [Required]
• Working knowledge of Microsoft programs and familiarity with database programs. [Required]
• Ability to operate general office machines such as computers, facsimiles, copiers, scanners. [Required]
• Skill in speaking clearly and distinctly using appropriate vocabulary and grammar to obtain the information necessary to execute job responsibilities. [Required]
• Skill in reading documents written in standard English text such as administrative policy and procedures manuals. [Required]
• Ability to communicate effectively in writing, with accurate typing /data entry at a minimum of 30 wpm. [Required]
• Proficiency in performance of basic math functions. [Required]
• Ability to follow complex instructions and procedures, with close attention to detail. [Required]
• Ability to effectively learn and perform multiple tasks and organize work in a systematic and efficient fashion. [Required]
• Ability to be responsive to ever-changing matrix of hospital needs and act accordingly. [Required]
• Availability of reliable transportation for scheduled field visits. [Required]

Education:

• Associates degree [Required]
• Bachelors degree [Preferred]

Field of Study:

• in social services, health science or related work field

Work Experience:

• 5+ years working experience with DCF, SSA or AHCA in eligibility enrollment programs. [Preferred]

Additional Information:

• An equivalent combination of education and relevant work experience may be considered in lieu of the stated degree:
• Associates degree [Required] OR
• 2+ years related experience [Required]

Physical Requirements:

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$19.96 - $37.11

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.