Financial Family Advocate I (PRN)

Nemours; Orlando (FL); Hybrid; USD 40,000 - 80,000; Part time

Job summary

An established industry player is seeking a Financial Family Advocate I to join their dynamic team in Orlando. This hybrid role focuses on providing exceptional customer service and healthcare finance knowledge to assist families navigating financial aspects of treatment. You will conduct thorough financial assessments, support patients in accessing funding options, and communicate effectively with various stakeholders. If you are passionate about making a difference in healthcare finance and enjoy working in a collaborative environment, this is the perfect opportunity for you.

Qualifications

• 3+ years of hospital experience with patient accounting functions.
• Strong knowledge of financial assistance programs and insurance processes.

Responsibilities

• Perform financial assessments for uninsured patients to assist with assistance applications.
• Communicate professionally with patients to resolve financial concerns.

Skills

Customer Service

Healthcare Finance Knowledge

Communication Skills

Insurance Knowledge

Financial Assessment

Education

Associate Degree

Relevant Experience

Tools

Epic

EMR Applications

Job description

Nemours is seeking a Financial Family Advocate I (Part-Time, PRN) to join our team in Orlando, Florida.

This is a hybrid position.

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 ongoing Nemours Financial Assistance Policies and Medicaid Programs. The Family Financial Advocate will work directly with insurance carriers or internal insurance verification personnel to determine benefit levels, coordination of benefits, coinsurance, and deductible amounts, and communicate financial obligations to the guarantor. This role will be responsible for determining suitable financial assistance programs for families 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. Additionally, the advocate will research and address inquiries related to insurance regulation, processing protocols, charge discrepancies, benefit interpretation, and adjudication. The role also supports Medicaid Enrollment processes.

Job Responsibilities:

1. Perform thorough financial assessments of uninsured and underinsured patients to assist with applications for federal, state, and local assistance programs, including conducting Pre-Service Financial Screening and Financial Clearance Interviews.
2. Ensure compliance with hospital financial resolution policies by conducting financial interviews and assisting with resolution of patient accounts, including initiating and completing charity and discount applications.
3. Maintain productivity of workqueues to verify and prepare accounts for billing with supporting documentation within established timeframes.
4. Support patients and families in accessing funding options by working with private insurance, HMO/PPOs, Medicaid, Medicare, and Third-Party Liability payers.
5. Communicate courteously, respectfully, and professionally to establish positive relationships, demonstrating active listening, positive body language, and confidentiality, using A.I.D.E.T principles.
6. Assist in customer service resolution for financial concerns, advising patients and guarantors about rights, responsibilities, and payment procedures.
7. Analyze insurance benefits or determine self-pay arrangements to create accurate patient responsibility estimates and educate families on coverage and costs.
8. Handle inbound and outbound calls related to collections, inquiries, and account management.
9. Maintain quality and integrity in Accounts Receivable and Self Pay processes.
10. Support scheduling, projects, and other duties as assigned by supervisor.
11. Perform other duties as needed.

Job Requirements:

• Associate Degree or equivalent education, training, and experience.
• Minimum three (3) years of hospital experience, with knowledge of patient accounting functions; relevant experience may substitute for an Associate Degree.
• Minimum one (1) year of relevant experience.
• Experience with registration, insurance, billing, or related fields.
• Knowledge of Epic and EMR applications.