Resource Advisor

Saint Peter’s Healthcare System; New Brunswick (NJ); On-site; USD 28,000 - 44,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

Paid time off

Tuition assistance

Free onsite parking

Job summary

Saint Peter’s Healthcare System is seeking a Revenue Cycle Eligibility Specialist to interview patients, assess eligibility for Charity Care and Medicaid, and manage documentation across hospital sites. You will navigate registries and applications, explain program requirements, and assist families with required paperwork under strict timelines.

The role requires experience in hospital revenue cycle operations, strong analytical and interpersonal skills, and bilingual English/Spanish proficiency

Qualifications

• At least one year experience in a Hospital Revenue Cycle environment preferred.
• In-depth knowledge of New Jersey Charity Care, New Jersey Medicaid eligibility requirements, Uncompensated Care Trust Fund Regulations, HIPAA, EMTALA, and related programs.
• Demonstrated ability to conduct complex financial and needs-based assessments involving income, assets, household composition, immigration-related eligibility rules, and supporting documentation.
• Exceptional interpersonal, communication, and cultural-competency skills to counsel patients and families during stress, illness, or financial hardship.
• High level of analytical ability and attention to detail to ensure accurate determinations while complying with regulations.
• Strong written and electronic documentation skills navigating hospital registration, billing, and eligibility systems.
• Bilingual proficiency (English/Spanish) strongly preferred to ensure equitable access.
• Flexibility to cover multiple hospital sites and changing regulatory requirements.

Responsibilities

• Interview patients in person or by telephone to determine eligibility.
• Navigate multiple internal and external systems required for eligibility determination, application submission, and follow-up.
• Educate patients regarding program requirements, documentation responsibilities, timelines, and potential outcomes.
• Complete and submit Charity Care, Medicaid, and other assistance applications accurately and within required timeframes.
• Maintain complete, accurate and systematic records for all financial screenings, determinations, and applications.
• Ensure timely submission of financial adjustments and supporting documentation to patient accounts and reimbursement.

Skills

Bilingual English/Spanish

Interpersonal communication

Analytical reasoning

HIPAA compliance

Attention to detail

Job description

• Interview patients in person or by telephone and determines eligibility. Conduct comprehensive financial screenings for uninsured and underinsured patients to determine eligibility for New Jersey Charity Care, New Jersey Medicaid, and other governmental assistance programs in accordance with Uncompensated Care Trust Fund Regulations. Meet with patients and families to obtain, verify, and analyze detailed financial, demographic, and residency information based on exact regulatory criteria.
• Navigate multiple internal and external systems required for eligibility determination, application submission, and follow-up.
• Educate patients regarding program requirements, documentation responsibilities, timelines, and potential outcomes. Perform all interactions with professionalism, empathy, cultural sensitivity, and confidentiality while completing financial registration processes. Complete related forms and applications for assistance. Complete and submit Charity Care, Medicaid, and other assistance applications accurately and within required timeframes. Assist patients in completing applications and obtaining necessary supporting documentation. Complete written financial evaluations within established turnaround standards.
• Maintain a complete, accurate and systematic set of records. Maintain thorough, accurate, and compliant documentation for all financial screenings, determinations, and applications.
• Ensure timely submission of financial adjustments and supporting documentation to support accurate patient accounts and reimbursement.

Resource Services

• Interview patients in person or by telephone and determines eligibility. Conduct comprehensive financial screenings for uninsured and underinsured patients to determine eligibility for New Jersey Charity Care, New Jersey Medicaid, and other governmental assistance programs in accordance with Uncompensated Care Trust Fund Regulations. Meet with patients and families to obtain, verify, and analyze detailed financial, demographic, and residency information based on exact regulatory criteria.
• Navigate multiple internal and external systems required for eligibility determination, application submission, and follow-up.
• Educate patients regarding program requirements, documentation responsibilities, timelines, and potential outcomes. Perform all interactions with professionalism, empathy, cultural sensitivity, and confidentiality while completing financial registration processes. Complete related forms and applications for assistance. Complete and submit Charity Care, Medicaid, and other assistance applications accurately and within required timeframes. Assist patients in completing applications and obtaining necessary supporting documentation. Complete written financial evaluations within established turnaround standards.
• Maintain a complete, accurate and systematic set of records. Maintain thorough, accurate, and compliant documentation for all financial screenings, determinations, and applications.
• Ensure timely submission of financial adjustments and supporting documentation to support accurate patient accounts and reimbursement.

Requirements

• At least one (1) year experience working in a Hospital Revenue Cycle environment preferred.
• In-depth working knowledge of New Jersey Charity Care, New Jersey Medicaid eligibility requirements, Uncompensated Care Trust Fund Regulations, HIPAA, EMTALA, and related state and federal assistance programs.
• Demonstrated ability to conduct complex financial and needs-based assessments involving income, assets, household composition, immigration-related eligibility rules, and supporting documentation.
• Exceptional interpersonal, communication, and cultural-competency skills required to effectively counsel patients and families during periods of stress, illness, or financial hardship.
• High level of analytical ability and attention to detail necessary to ensure accurate determinations while maintaining strict compliance with hospital, state, and federal regulations.
• Strong written and electronic documentation skills, including proficiency in navigating hospital registration, billing, and eligibility systems.
• Bilingual proficiency (English/Spanish) strongly preferred to ensure equitable access to services for diverse patient populations.
• Flexibility to cover multiple hospital sites and adapt to changing regulatory requirements and patient volumes.

Salary Range: 20.13 - 32.19 USD

We offer competitive base rates that are determined by many factors, including job-related work experience, internal equity, and industry-specific market data. In addition to base salary, some positions may be eligible for clinical certification pay and shift differentials.

The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status.

Saint Peter's offers a robust benefits program to eligible employees that will support you and your family in working toward achieving and maintaining secure, healthy lives now and into the future. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs and discounts, paid life insurance, generous 401(k) match, adoption assistance, back-up daycare, free onsite parking, and recognition rewards.

You can take your career to the next level by participating in either a fully paid tuition program or our generous tuition assistance program. Learn more about our benefits by visiting our site at Saint Peter's .