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Financial Advocate II

Company: Nemours
Location: Wilmington
Posted on: December 4, 2019

Job Description:

As one of the nations leading pediatric health care systems, Nemours is committed to providing all children with their best chance to grow up healthy. We offer integrated, family-centered care to more than 300,000 children each year in our pediatric hospitals, specialty clinics and primary care practices in Delaware, Florida, Maryland, New Jersey and Pennsylvania. Nemours strives to ensure a healthier tomorrow for all children even those who may never enter our doors through our world-changing research, education and advocacy efforts. At Nemours, our Associates help us deliver on the promise we make to every family we have the privilege of serving: to treat their child as if they were our own. Family Financial Advocate II Utilizing high-level customer service, healthcare finance knowledge, and excellent communication skills, the Family Financial Advocate will facilitate, educate and communicate to patients/families about the financial aspects of seeking treatment at Nemours. Work involves conducting face-to-face interviews, gathering, assembling and reviewing sensitive information supplied by applicants, relevant to the initial and on-going Nemours Financial Assistance and Medicaid Programs. The Family Financial Advocate will work directly with insurance carriers or with internal insurance verification personnel to determine benefit level, coordination of benefits, coinsurance and deductible amounts and communicate financial obligations to the guarantor. This role will be responsible for determining a suitable financial assistance program for each family identified as being in need, developing payment arrangements, collecting prepayments (deposits and out of pocket costs), providing cost estimates to patients and providers, and approving discounts in accordance with organizational and government policies. In addition to providing financial assistance and resources, the Family Financial Advocate will research and address a broad range of inquiries covering items such as insurance regulation and processing protocols, charge discrepancies, benefit interpretation and adjudication. This role is also responsible for supporting the Medicaid Enrollment processes with DE/PA/NJ Medicaid programs. The role may require some travel to other Nemours locations to assist with the Financial Services processes and education. Qualifications - High School Diploma required; Associates degree preferred - EPIC software application knowledge or certification helpful - CHAA (Certified Healthcare Access Associate), CRCR (Certified Revenue Cycle Representative) or CAC (Certified Application Counselor) preferred - At least 2-3 years Customer Service required - Minimum 3 years clerical experience in healthcare setting such as physician office or hospital admissions required - 1-2 years experience in healthcare revenue cycle related activities preferred - Bi-lingual preferred Our dedication to professionals who are dedicated to children frequently earns Nemours a spot on the list of top workplaces in the communities we serve. Our Associates enjoy comprehensive benefits, including our unique Bridge to a Healthy Future pediatric health plan, an integrated wellness program, opportunities for professional growth, and much more. As an equal opportunity employer, Nemours focuses on the best-qualified applicants for our openings.

Keywords: Nemours, Wilmington , Financial Advocate II, Accounting, Auditing , Wilmington, Delaware

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