FQHC Financial Coordinator in Atlantic City, New Jersey at Atlanticare

POSITION SUMMARY

The Financial Coordinator promotes awareness of the health care marketplace exchange and expanded New Jersey Medicaid. The position assists with enrollment of eligible consumers into a Health Plan. The Financial Coordinator is responsible for understanding the initial patient registration process, conducting billing inquiries, making payment arrangements, maintaining patient financial records, and collecting co-payments and deductibles. The Financial Coordinator communicates and collaborates with FQHC team members, AIT & Finance in a timely manner. The Financial Coordinator will be knowledgeable of state and federal government funding programs such as Medicare, Medicaid, TRICARE/CHAMPUS, Workers Compensation; and commercial insurance payers; billing and reimbursement guidelines and methodologies for state and federal government and non-government payers; insurance terminology; medical terminology, HIPAA privacy and compliance practices. The Financial Coordinator is responsible for the NJ Uncompensated Care, also known as Letter of Agreement (LOA) and Sliding Fee Scale applications for all eligible consumers. This position is responsible for training staff on financial eligibility programs, assisting with understanding LOA and the sliding fee scale application. The Financial Coordinator conducts monthly audit with AIT and Finance to provide LOA data. Provides accurate information to AIT and the billing supervisor.

The Coordinator demonstrates knowledge of financial liability and financial assistance procedures. The Financial Coordinator is considered a customer service and financial champion responsible for delivering great customer service at each entry point throughout the health system. The Financial Coordinator is responsible for patient throughput completing financial clearance on all scheduled appointments at the FQHC Healthcare. The Financial Coordinator must be able to independently perform insurance management and internal LOA, sliding fee scale and uninsured audits. Attends all recommended department meetings and in-services.

This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.

QUALIFICATIONS

EDUCATION: High School degree or equivalent is required. Ability to read, speak, and write English, required.

LICENSE/CERTIFICATION: Attendance of all mandated federal facilitated market base training required. Certified Application Counselor (CAC) required within 6 months from date of hire or transfer. Medicaid/Presumptive Eligibility Certification within 6 months from date of hire or transfer. Medicaid/PE will be maintained via the FQHC.

EXPERIENCE: Minimum 2-3 years medical/billing insurance experience required. Strong communication, math, interpersonal and organizational skills required. Ability to problem solve and work independently with little supervision. Bilingual ability inSpanish required.

Demonstrates the competencies as established on the Assessment and Evaluation Tool for this position.

WORK ENVIRONMENT

This position requires reaching, stooping, kneeling, and crouching approximately 25% of the workday. This position also requires frequently lifting, approximately 25-30 pounds, and occasional lifting of 50-100 pounds with assistance.

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 reflect 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