Financial Advocate

Team Member Services; United States; On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical

Dental

Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Whole Person Well-being Resources

Mental Health Resources and Support

Pet Benefits

Job summary

AdventHealth in Winter Garden, FL is seeking a detail-oriented member to assist with patient financial services. The role involves evaluating uninsured and underinsured patients for eligibility in federal and state programs, preparing applications, and guiding patients through the process.

You will collaborate with care teams to ensure accurate documentation, compliance with HIPAA, and timely outreach to patients and agencies. On-site schedule is Monday–Friday, day shift in a hospital setting.

Qualifications

• Experience in patient financial services preferred.
• Familiarity with government assistance programs (Medicaid, SSA) helpful.

Responsibilities

• Demonstrates AdventHealth core values in daily behavior.
• Assess uninsured/underinsured patients' financial eligibility for federal/state programs.
• Screen and apply patients for applicable financial assistance programs.
• Communicate clearly with patients about program requirements and timelines.
• Coordinate with external agencies and departments to support approval processes.

Job description

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:

• Medical
• Dental
• Vision Insurance
• Life Insurance
• Disability Insurance
• Paid Time Off
• 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 (Day, 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

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