High school diploma or equivalent.
Must complete CMS Certified Application Counselor curriculum within three months of their start date.
Must complete Presumptive Eligibility certification within three months of their start date.
Ability to communicate effectively both orally and in writing sufficient to perform the essential functions; read, understand and apply policies and guidelines; and obtain information from a variety of sources.
0-1 years of experience in a healthcare-related customer service environment.
Knowledge of general computer and data entry functions.
Excellent communication, organizational and analytical skills.
Ability to keep up in a very fast-paced environment.
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 may be responsible for scheduling telehealth visits at Hammonton SED via the InTouch Solo scheduling platform.
The Financial Assistance Representative, Level I will be able to assist patients in applying for state and federal government funded programs, such as Medicaid, Charity Care and the Affordable Care Act. In addition, the Financial Services Representative, Level I will 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.
The Financial Assistance Representative I will perform duties after six-week training program under the supervision of the Patient Access management team. This position is a customer service champion responsible for delivering great customer service at each entry point throughout the health system. This position is also responsible for patient throughput, established wait times and turnaround (TAT) times for all Patient Access areas, along with aiding in the achievement of top box customer service scores for each respective Patient Access site.
The Financial Assistance Representative I must pass annual recertification with score of 90% or better. The Financial Assistance Representative I can perform job duties based on department procedure and protocol; may require direct oversight. Attends all required trainings and in-services and passes all competency tests associated with the in-services.
This position maintains high accuracy rate of A and established productivity rates for key performance indicators (KPI), such as Charity Care and Presumptive Eligibility application completion rate, cash collections, wait and TAT times, and pre-registration and registration productivity.
The Financial Assistance Representative I must achieve Valued Contributor or above on their annual evaluation with no written disciplinary documents on file. The Financial Assistance Representative I will have the opportunity for advancement to Financial Assistance Representative II if all of the above requirements are satisfied and the incumbent has been in the role for one year. In order to advance via the Patient Access Career Path, the Financial Assistance Representative I must complete the coursework and Litmos Revenue Cycle Certified Professional I or HFMA Certified Revenue Cycle Representative certification. The Financial Assistance Representative I must pass the annual recertification with a minimum score of 95%. The Financial Assistance Representative I must achieve an evaluation rating of Valued Contributor the year of consideration and every year after. If the Valued Contributor rating is not achieved in the following years, an action plan will be put in place to remediate the staff member back to Valued Contributor and no further considerations for the career path program will be allowed until the staff member formally achieves valued contributor on their next annual evaluation.
This position supports organizational goals by providing high-level, quality customer service; participating in performance improvement efforts; and demonstrating a commitment to teamwork and cooperation while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for hospital and clinic services from all sources. The Financial Assistance Representative Level I may be responsible for additional duties as assigned with respect to the Financial Assistance job scope.
EDUCATION: 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; and obtain information from a variety of sources is required. Bilingual preferred.
LICENSE/CERTIFICATION: Must complete CMS Certified Application Counselor curriculum within three months of their start date. Must complete Presumptive Eligibility certification within three months of their start date.
EXPERIENCE: 0-1 years of experience in healthcare registration or relevant customer service environment required. Knowledge of general computer and data entry functions required. Experience in a physicians' office or hospital setting is preferred. Excellent communication, organizational and analytical skills required. Ability to keep up in a 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.
Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.
Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances and potential injury.
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.
The essential functions for this position are listed on the Assessment and Evaluation Tool.
This position reports to department leadership.
The above statement reflects the general details considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.