Resource Advisor

Saint Peter's Healthcare System; New Brunswick (NJ); On-site; USD 48,000 - 72,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) match

Tuition assistance

Free onsite parking

Job summary

Saint Peter's Healthcare System seeks a Resource Advisor to support financial screenings and eligibility determinations for Charity Care, Medicaid and related programs. You will interact with patients to collect and verify financial and residency data, explaining program requirements and timelines, and submitting applications with accuracy.

The role requires experience in hospital revenue cycle, strong communication skills, and bilingual English/Spanish abilities to serve diverse patient

Qualifications

• At least one year of experience in hospital revenue cycle preferred.
• In-depth knowledge of NJ Charity Care, NJ Medicaid eligibility, Uncompensated Care Trust Fund regulations, HIPAA, EMTALA and related programs.
• Ability to conduct complex financial and needs-based assessments with documentation.
• Strong interpersonal, communication and cultural-competency skills for counseling patients during stress.
• High attention to detail and compliance with regulations; strong documentation skills.

Responsibilities

• Interview patients in person or by telephone to determine eligibility for Charity Care, Medicaid and other programs.
• Navigate systems required for eligibility, applications, and follow-up.
• Educate patients on program requirements, responsibilities, timelines and outcomes; complete and submit applications accurately.
• Maintain complete, accurate records and compliant documentation for screenings and applications.
• Ensure timely submission of financial adjustments and supporting documentation.

Skills

Financial screening

Eligibility assessment

HIPAA compliance

Communication skills

Bilingual English/Spanish

Tools

Registration systems

Job description

Resource Advisor

Resource Services

The Resource Advisor will:

• 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.

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.