Financial Assistance Representative - South/Central NJ

Financial Assistance Representative

The Financial Assistance Representative is responsible for screening patients who have no insurance or are underinsured for State of New Jersey (NJ) Medicaid, State of NJ Charity Care or State of NJ Get Covered NJ Marketplace and assist in completing the appropriate applications, either face to face (bedside or office appointment) or by phone. Directly responsible for accurately processing Presumptive Eligibility (PE) Medicaid and for the follow up process to ensure patients become enrolled in NJ Family Care (NJFC). Review all supporting documentation. Is compliant with all Federal and State regulations. Provides timely updates to ensure successful reimbursement.

This is going to be an onsite position and will require to travel between different hospital facilities within the south/central region of New Jersey. The hours for this role will be 7:00am-3:30pm.

A day in the life of a Financial Assistance Representative at Hackensack Meridian Health includes:

• Assists in the completion of financial assistance applications and obtaining signatures of patients or designee either at bedside, applicable intake office, via the call center or through the mail.
• Asks appropriate screening questions to determine which financial assistance patients are qualified for and clearly identifies documentation needed to support applications.
• Analyzes documentation such as bank statements, tax forms, attestations, etc. to ensure compliance with State regulations.
• Use online insurance eligibility systems to ensure eligibility for assistance.
• Answers telephone calls (including call center) promptly and courteously using the approved greeting/scripting.
• Voice mail messages are checked and addressed within one hour.
• Accurately interpret patient requests, screen for all appropriate insurance plans, if appropriate, start application over the phone and clearly identify what documentation is needed/next steps.
• All issues are resolved promptly and respond to all questions/comments with empathy.
• Accurately enters data into the State of NJ PE/New Jersey Family Care systems and ensures that all PE/NJFC confirmations are mailed to patients on a timely basis. Accurately enter data into the HMH Financial Assistance workflow system, add appropriate notes to the account and assign an accurate status for timely follow up.
• All Charity Care applications are to be approved or denied within 45 days of submission.
• Open mail, scan documents and enters notes into systems in a timely manner.
• All applications and supporting documentation are scanned into HMH document imaging system in audit ready order.
• Completes daily, weekly and/or monthly reports as required.
• Works in collaboration with our customers, including patients and all applicable HMH departments who have patients that require financial assistance.
• Provides on-site support to various departments screening patients and ensuring successful reimbursement to those departments.
• Attends Get Covered NJ Certified Applications Counselor events as required.
• Other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Education, Knowledge, Skills and Abilities Required :

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
• Must be proficient with workflow/work queue systems, Patient Management system, document Imaging, PDF creators, Microsoft Office/Google and website applications.
• Uses customer service skills to increase patient satisfaction.
• Strong critical thinking skills.
• Strong, clear written and verbal communications.
• Attention to detail.
• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
• Must be willing and able to travel to other HMH sites within the region when needed to fill in or for PTO/FMLA

Education, Knowledge, Skills and Abilities Preferred :

• Bi-lingual (Spanish) Preferred.
• One or more years of experience with NJ Charity Care regulations, NJFC program and/or other related financial assistance/counseling programs.

Licenses and Certifications Required :

• Must pass Presumptive Eligibility (PE) certification at hire, as well maintain any future updates/re-certifications, as required by the State of NJ.
• Must obtain Certified Application Counselor Certification through State of NJ Get Covered NJ upon hire and maintain via annual recertification.

Compensation Minimum rate of $24.34 Hourly HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package. The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts. In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

HACKENSACK MERIDIAN HEALTH (HMH) IS AN EQUAL OPPORTUNITY EMPLOYER

All qualified applicants will receive consideration for employment without regard to age, race, color, creed, religion, sex, sexual orientation, gender identity or expression, pregnancy, breastfeeding, genetic information, refusal to submit to a genetic test or make available to an employer the results of a genetic test, atypical hereditary cellular or blood trait, national origin, nationality, ancestry, disability, marital status, liability for military service, or status as a protected veteran.