Description

We are seeking a Resource Advisor to be responsible for performing data entry, account analysis and managing client relationships. The ideal candidate will have superior organizational skills and a passion for attention to detail and provide great customer service to all patients. A minimum of one year of patient financial services experience is required and the right candidate will enjoy working at a growing healthcare organization.

Responsibilities include, but are not limited to:

• Interviews patients or family members in person or by telephone within HIPAA guidelines and determines eligibility based on guidelines supplied by the client site and uncompensated trust fund regulations.
• Maintain complete records of all patients applying for low income or financial assistance to include application, proof of income, acceptance/denial letter, and any/other applicable documentation.
• Ensure to follow up company’s, departmental and hospital policies and procedures to maintain compliance.
• Maintain daily contact with various hospital departments and other outside entities on self pay referrals.
• Assist patients in completing applications for state/county or government programs.
• Maintains statistical and other data related to financial determinations.
• Follows up with patients or family member after discharge to start the completion application in a timely manner.
• Submits completed applications in a timely manner for approval.
• Create detailed notes in the host or hospital system to reflect all actions performed on a patient’s account (for example: scheduling, payments, etc.).
• Initiate online PE’s (Presumptive Eligibility) for patient’s eligibility for Medicaid/NJ Family Care.
• Completes PA1C- form for patients eligible for Medicaid/NJ Family Care programs.
• Assist in special projects as requested by Management team.
• Ensures that routine and priority tasks are completed within established departmental time frames.
• Attends and actively participates in department meetings, trainings, and cross-training programs.
• Perform other duties as assigned by management team.

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Paid training
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday-Friday 3:30pm-12:00am
• 40 hours/week

Ability to commute/relocate:

• Paterson, NJ 07503: Reliably commute or planning to relocate before starting work (Required)

Requirements

• Bilingual – writing, reading and speaking in Spanish (required)
• High school diploma or GED, minimum requirement
• Strong communication, including writing, speaking and active listening
• Great customer service skills, including interpersonal conversation, patience and empathy
• Good problem-solving and critical thinking skills
• Ability to multi-task and work in a hospital environment
• Organization, time management and prioritization abilities
• Understanding of industry-specific policies, such as HIPAA regulations for health care is helpful
• Attention to detail and excellent quality
• Proficient computer skills, Microsoft Office; working knowledge of billing software, electronic medical records (EMR) or hospital software systems is a plus

Physical Requirements:

• The team members are required to sit for an extended period, occasionally lift supplies/equipment, and move up to 25 pounds.
• Must travel for onsite training and attend client meetings as needed.