Financial Assistance Rep

AtlantiCare; Atlantic City (NJ); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k)/403(b)

Life Insurance

Disability Insurance

Tuition Reimbursement

FSAs

Wellness Programs

Job summary

AtlantiCare is seeking a Financial Assistance Representative to process financial assistance applications, patient admissions, and registration. The role verifies eligibility for programs like Medicaid and Charity Care and coordinates with the Patient Access team and other departments to maximize hospital payments.

The successful candidate will work under supervision after a six-week training, pass annual recertification with 90%+, and maintain accuracy and KPI targets while delivering excellent

Qualifications

• High school diploma or equivalent.
• Must complete Presumptive Eligibility certification within three months of start.
• Ability to communicate effectively both orally and in writing; read, understand, and apply policies and guidelines.
• 0-1 year experience in Healthcare relevant customer service environment.
• Knowledge of general computer and data entry functions.
• Excellent communication, organizational and analytical skills.
• Ability to keep up in very fast paced environment.

Responsibilities

• Process financial assistance applications and patient admissions/registration.
• Verify eligibility for programs (Medicaid, Charity Care) and third party payer accounts.
• Collaborate with Patient Access and other departments to maximize payments.
• Maintain HIPAA/privacy compliance and pass required trainings and tests.

Skills

Communication skills

Data entry / computer literacy

Healthcare customer service experience

Analytical skills

Ability to work in fast-paced env

Education

High school diploma or equivalent

Job description

Job Description

ATLANTICARE _____________________________________________ROLE DESCRIPTION TITLE: Financial Assistance Representative JOB CODE:1973 EXEMPT: NON-EXEMPT: X DATE: 11/15 REVISED: 7/20 (Q) 12/24 (Q) 06/25 (T) 5/26 (Q)

Minimum Qualifications

• High school diploma or equivalent
• Must complete Presumptive Eligibility certification within three months of their start date.
• Ability to communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand, and apply policies and guidelines; obtain information from a variety of sources
• 0-1 year experience in Healthcare relevant customer service environment
• Knowledge of general computer and data entry functions
• Excellent communication, organizational and analytical skills
• Ability to keep up in very fast paced environment

Position Summary The Financial Assistance Representative is responsible for financial assistance processing, general admissions, and the patient registration process. This position verifies a patient's ability to qualify for a particular program that will help with their financial responsibility. The Financial Counselor will also verify third party payer accounts. The Financial Assistance Representative communicates and collaborates with Patient Access team members and other ancillary departments as needed. The Financial Assistance Representative will be able to assist patients in applying for state and federal government funded programs such as; Medicaid and Charity Care. In addition, the Financial Services Representative Level I will have knowledge of TRICARE/CHAMPUS, Workers' Compensation; No Fault Auto, and commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; insurance terminology; medical terminology, EMTALA, HIPAA privacy, and compliance practices. The Financial Assistance Representative will perform duties after six-week training program under the supervision of the Patient Access management team. This position is a customer service champion responsible for delivering great customer service at each entry point throughout the health system. The Financial Assistance Representative must pass annual recertification with score of 90% or better. The Financial Assistance Representative can perform job duties based on department procedure and protocol; may require direct oversight. Attends all required trainings and in-services and passes all competency tests associated with the in-services. This position maintains high accuracy rate of A and established productivity rates for Key Performance Indicators (KPI) such as Charity Care and Presumptive eligibility application completion rate. This position supports organizational goals by providing high level, quality customer service, participating in performance improvement efforts, demonstrating a commitment to teamwork and cooperation while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services from all sources. The Financial Assistance Representative may be responsible for additional duties as assigned with respect to the Financial Assistance job scope.

Performance Expectations Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.

Work Environment Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury. This position also requires pushing and pulling computers on wheels approximately up to 100% of the day if assigned to the Emergency Department or Labor and Delivery. High volume fast-paced environment. The essential functions for this position are listed on the Assessment and Evaluation Tool.

Reporting Relationship This position reports to department leadership. The above statement reflects the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

Benefit Offerings AtlantiCare offers eligible Full-time and Part-time team members the ability to participate in Medical, Dental, Vision, 401(k)/403(b), Life Insurance, Disability and other supplemental benefit programs.

About Us

AtlantiCare is an Equal Opportunity Employer.

Total Rewards at AtlantiCare

At AtlantiCare, we believe in supporting the whole person. Our market-competitive Total Rewards package is designed to promote the physical, emotional, social, and financial well-being of our team members. We offer a comprehensive suite of benefits and resources, including:

• Generous Paid Time Off (PTO)
• Medical, Prescription Drug, Dental & Vision Insurance
• Retirement Plans with employer contributions
• Short-Term & Long-Term Disability Coverage
• Life & Accidental Death & Dismemberment Insurance
• Tuition Reimbursement to support your educational goals
• Flexible Spending Accounts (FSAs) for healthcare and dependent care
• Wellness Programs to help you thrive
• Voluntary Benefits, including Pet Insurance and more

Benefits offerings may vary based on position and are subject to eligibility requirements.

Join a team that values your well-being and invests in your future.

Pay Transparency

In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to "Pay Transparency Law" in impacted states, which mandate employers to list salary ranges in job advertisements and promotions.