Financial Assistance Specialist 2

3 weeks ago

Tampa, United States Tampa General Hospital Full time

Job Summary

The primary responsibilities of a Financial Assistant Specialist II include, but are not limited to: interviewing private pay patients to determine eligibility/affordability for commercial exchange products, benefits associated with exchange products; assessing patient financial capabilities, calculating premiums based on plan; enrolling candidates in an exchange plan and acting as a resource to the TGH community for the ACA reform program. Additional duties include those of an FAS I as needed. Preparation of charity care application, including the Utilization Letter (EA Letter) for illegal aliens as required by the Department of Children & Families (DCF) or the completion of the 1011 Form (Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens); acquisition of all necessary documentation as required by the 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; submission of the assistance application to appropriate agency within specified timely filing requirements; tracking assistance applications, documenting location, status, approval or denial; attending DCF hearings to appeal cases that have been closed in error; notifying the Financial Assistance Specialist Team Lead of approvals or denials. The Financial Assistance Specialist II provides counseling services for identifying and obtaining payment sources; postponing service for any patient, if no insurance or inappropriate insurance coverage and patient cannot pay the amount due. In addition, duties include explaining financial accountability to the patient and/or guarantor/family; establishing and obtaining payment arrangements for patients that cannot be postponed or unable to pay co-pays and/or deductibles at the time of service. The Financial Assistant Specialist II will also notify Medicare patients of the availability and use of Life Time Reserve Days; obtain ABN (Advanced Beneficiary Notice) in the event of non-covered procedure(s); follow up on all W/C and Auto admissions missing billing information. Responsible for performing all job duties in accordance with mission, vision and values of Tampa General Hospital.

Qualifications

High School Diploma or G.E.D. Associate Degree in Business preferred and completion of the CPAT exam is a plus. Must have a minimum of 4 years Patient Access, Patient Accounting or Collections; 2 years’ experience in commercial insurance sales/brokering strongly preferred with an understanding of tax credits under reform and exchanges. Must have experience working with Managed Care, Medicare, Medicaid and County Agency Representatives. Ability to provide excellent customer service, exceptional time management and organizational skills is required. Familiarity with reform and accountable care initiatives. Knowledge of Medicaid, Medicare, Medicare Disability, Hillsborough County Health Care Program (HCHCP), Victims of Crime

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