Financial Assistance Representative

About the role

The Financial Assistance Representative Level I 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 Level I will also verify third party payer accounts, pre-authorization and/or pre-certification requirements. The Financial Assistance Representative Level I communicates and collaborates with Patient Access team members and other ancillary departments as needed. The Financial Assistance Representative Level I will be able to assist patients in applying for state and federal government funded programs such as; Medicaid and Charity Care.

Responsibilities

• Communicate and collaborate with Patient Access team members and other ancillary departments as needed.
• Verify a patient's ability to qualify for a particular program that will help with their financial responsibility.
• Verify third party payer accounts, pre-authorization and/or pre-certification requirements.
• Assist patients in applying for state and federal government funded programs such as; Medicaid and Charity Care.
• 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.
• Perform duties after six-week training program under the supervision of the Patient Access management team.
• Deliver great customer service at each entry point throughout the health system.
• Aid in the achievement of top box customer service scores for each respective Patient Access site.
• Pass annual recertification with a score of 90% or better.
• Complete coursework and Litmos Revenue Cycle Certified Professional I or HFMA Certified Revenue Cycle Representative certification.
• Pass annual recertification with a minimum score of 95%.
• Achieve an evaluation rating of Valued Contributor the year of consideration and every year after.

Qualifications

• High school diploma or equivalent required.
• 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 is required.
• Bilingual preferred.
• Must complete Presumptive Eligibility certification within three months of their start date, when applicable.
• 0-1 year experience in Healthcare registration or relevant customer service environment required.
• Knowledge of general computer and data entry functions required.
• Previous experience in a physicians' office or hospital setting is preferred.
• Excellent communication, organizational and analytical skills required.
• Ability to keep up in very fast paced environment required.
• Candidates must continuously display professionalism, courtesy and respect to all customers that always mirror AtlantiCare's Values/Behaviors.
• Candidate must have reliable means of transportation.

Skills

• Knowledge of general computer and data entry functions.
• 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.

Benefits

Total Rewards at AtlantiCare offers 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

Pay

Pay Transparency In order to support the Fair Compensation Strategy by the US Govt., AtlantiCare adheres to "Pay Transparency Law" in impacted states, which mandates employers to list salary ranges in job advertisements and promotions.

Schedule

This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. This position requires frequently lifting, approximately 25-30 pounds, and occasional lifting of 50-100 pounds with assistance. 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.

Reporting Relationship

This position reports to department leadership.

About Us

Total Rewards at AtlantiCare offers 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

Pay Transparency

To support the Fair Compensation Strategy by the US Govt., AtlantiCare adheres to "Pay Transparency Law" in impacted states, which mandates employers to list salary ranges in job advertisements and promotions.