Financial Assistance Specialist 2

About the role

The Financial Assistance Specialist 2 works diligently to fund the unfunded/underfunded patients and/or consumers. The role provides financial clearance to uninsured/underinsured patients scheduled for elective procedures by generating and creating estimates for self-pay collection. The Specialist will submit, track, and follow Medicaid, Hillsborough County Health Care Program (HCHCP), and Health Care Responsibility Act (HCRA) applications to completion, until a denial or an approval is received. All job duties are performed in accordance with the mission, vision, and values of Tampa General Hospital.

Responsibilities

• Interview Private Pay and underinsured patients to determine eligibility/affordability for commercial exchange products and government financial assistance programs.
• Assess patient financial capabilities.
• Enroll patients/consumers in an exchange plan and act as a resource to the TGH community for the Affordable Care Act reform.
• Act as department support for Financial Assistance Specialist 1.
• Prepare charity care applications, including the Utilization Letter (EA Letter) for illegal aliens as required by the Department of Children & Families (DCF).
• Acquire all necessary documentation required by respective government agencies, including Social Security Disability (SSI/SSD), which may require additional contact with the patient or the patient’s family, even after discharge.
• Submit assistance applications to appropriate agencies within specified timely filing requirements.
• Track assistance applications, document location, status, approval, or denial.
• Attend DCF hearings to appeal cases that have been closed in error or denied.
• Notify the Financial Assistance Specialist Team Lead of approvals or denials.
• Provide counseling services for identifying and obtaining payment sources; postpone service for any patient if no insurance or inappropriate insurance coverage and the patient cannot pay the amount due.
• Explain financial accountability to the patient and/or guarantor/family; establish and obtain payment arrangements for patients that cannot be postponed or are unable to pay co-pays and/or deductibles at the time of service.
• Notify Medicare patients of the availability and use of Lifetime Reserve Days.
• Notify patients of gaps/weaknesses in coverage and potential non-covered services (e.g., Advance Beneficiary Notice).
• Generate and create estimates for self-pay patients; provide estimates to self-pay patients and collect payment.
• Follow up on all Workers’ Compensation and Auto admissions missing billing information.

Requirements

• Extensive knowledge of Managed Care, Medicaid, Medicaid Disability, Medicare, Healthcare Marketplace Insurance, Hillsborough County Health Care Program (HCHCP), Health Care Responsibility Act (HCRA), and Victims of Crime.
• Expertise in Customer Service and exceptional time management and organizational skills.
• High School Diploma or GED.
• Minimum of three (3) years of experience in Financial Assistance, Patient Access, Patient Accounting, or Collections.
• Two (2) years of experience in commercial insurance, Financial Assistance applications, Medicaid and/or Medicare applications, and Healthcare Marketplace Insurance enrollments.
• An equivalent combination of education and years of experience may be considered.

Work Locations

• TGH Main Campus
• Eligible for Remote Work

Schedule

• Full-time
• Scheduled Days: Monday, Tuesday, Wednesday, Thursday, Friday
• Shift: Day
• Shift Hours: 8:00 am - 4:30 pm

Pay

• Minimum Salary: $19.00 per hour