Financial Assistance Rep

ATLANTICARE _____________________________________________ROLE DESCRIPTION TITLE: Financial Assistance Representative JOB CODE:1973 EXEMPT: NON-EXEMPT: X DATE: 11/15 REVISED: 7/20 (Q) 12/24 (Q) 06/25 (T) 5/26 (Q) Minimum Qualifications: * High school diploma or equivalent * 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; obtain information from a variety of sources * 0-1 year experience in Healthcare relevant customer service environment * Knowledge of general computer and data entry functions * Excellent communication, organizational and analytical skills * Ability to keep up in very fast paced environment POSITION SUMMARY The Financial Assistance Representative 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 will also verify third party payer accounts. The Financial Assistance Representative communicates and collaborates with Patient Access team members and other ancillary departments as needed. The Financial Assistance Representative will be able to assist patients in applying for state and federal government funded programs such as; Medicaid and Charity Care. 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 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. The Financial Assistance Representative must pass annual recertification with score of 90% or better. The Financial Assistance Representative 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. This position supports organizational goals by providing high level, quality customer service, participating in performance improvement efforts, 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 may be responsible for additional duties as assigned with respect to the Financial Assistance job scope. QUALIFICATIONS 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; obtain information from a variety of sources is required. Bilingual preferred. LICENSE/CERTIFICATION: Must complete Presumptive Eligibility certification within three months of their start date, when applicable * HFMA Certified Revenue Cycle Representative (CRCR) preferred, not required EXPERIENCE: 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. PERFORMANCE EXPECTATIONS Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position. WORK ENVIRONMENT Potential for exposure to the hazards and risk of the hospital environment, including exposure to infectious disease, hazardous substances, and potential injury. 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. REPORTING RELATIONSHIP This position reports to department leadership. The above statement reflects the general details considered necessary to describe the principle 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. Benefit Offerings AtlantiCare offers eligible Full-time and Part-time team members the ability to participate in Medical, Dental, Vision, 401(k)/403(b), Life Insurance, Disability and other supplemental benefit programs.

The Financial Assistance Representative must pass annual recertification with score of 90% or better. The Financial Assistance Representative 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. This position supports organizational goals by providing high level, quality customer service, participating in performance improvement efforts, 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 may be responsible for additional duties as assigned with respect to the Financial Assistance job scope. QUALIFICATIONS 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; obtain information from a variety of sources is required. Bilingual preferred. LICENSE/CERTIFICATION: Must complete Presumptive Eligibility certification within three months of their start date, when applicable HFMA Certified Revenue Cycle Representative (CRCR) preferred, not required EXPERIENCE: 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.