Financial Advocate

AdventHealth; United States; On-site; USD 27,000 - 51,000; Full time

Benefits offered by this job

Benefits from Day One

403B Retirement Plan

Paid Time Off from Day One

Parental Leave

Career Development

Job summary

AdventHealth is seeking a detail-oriented professional to assess eligibility for government programs and assist patients with applications. You will review income, assets, and dependents, prepare complete cases, and navigate SSA/Medicare processes. Strong math, data entry, and HIPAA knowledge are essential.

The role is full-time and on-site in Winter Garden, FL, offering benefits from day one and growth opportunities within the faith-based health system.

Qualifications

• Experience with Medicaid and government-funded health programs.
• Knowledge of HIPAA privacy rules and patient confidentiality.
• Proficient in Microsoft Office and data entry.
• Strong math and data analysis skills.
• Able to manage multiple tasks and meet deadlines.
• Excellent written and verbal communication.

Responsibilities

• Evaluate and assist uninsured/underinsured patients for eligibility of government programs.
• Screen and prepare applications for federal, state, and local programs.
• Explain eligibility requirements and collect verifications from patients.
• Maintain timely communication and documentation to support case dispositions.
• Escalate high‑dollar or aged accounts as needed.

Skills

Medicaid application process

HIPAA privacy rules

Microsoft Office

Data entry speed

Attention to detail

Able to follow complex instructions

Multitasking abilities

Effective written communication

Education

Associates degree

Bachelors degree preferred

Tools

Microsoft Office Suite

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: 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.

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

Pay Range: $19.96 - $37.11

Background Screening Requirement

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.

Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.