Financial Family Advocate I – Nemours Children’s Hospital

Orlando, Florida, Nemours is seeking a Financial Family Advocate I (Full-Time), to join our team in Orlando, Florida. The Financial Family Advocate I will report to the Patient Financial Services Supervisor. They will be responsible for activities include generating weekly status reports, communication with multiple departments, monitoring accounts for proper documentation of third-party review notification, authorizations, insurance verifications, collection of deposits and self-pay balances, securing reimbursement methods of uninsured, EHR update of accounts and the collection and verification of relevant patient data. The Family Financial Advocate II will also be tasked in providing estimates regarding cost of care for Nemours service lines. The Financial Advocate will also analyze patient’s income, asset, household composition, and eligibility conditions, while applying to the respective Government Funded Health Programs. Protects the financial standing of Nemours by performing methodical and thorough financial assessments of our uninsured and/or underinsured patients assisting in applications for federal, state and local programs. Verifies and assures all accounts are ready for billing with adequate supporting documentation, within the established time frames. Serves as a support to patients and their family members to assure patients have access to all available funding options, this involves working with private as well as governmental agencies, i. e. , private insurance, HMO/PPO’s, Medicaid, Medicare, and Third-Party Liability payers.

Initiates and completes charity applications on accounts at risk. This includes Nemours Financial Assistance Programs and Uninsured discount Programs. Ensure compliance with hospital financial resolution policies, including conducting financial interviews with patients and families to assist with resolution of their account. Aid in customer service resolution with concerns in regard to financial services. Including but not limited to giving advice and counsel to patients and guarantors of their rights, responsibilities, and procedures about payment for care. Discuss insurance coverage and any expected patient responsibility. Aid in creating estimates for patient responsibility portion. Handles inbound and outbound calls including but not limited to pre and post service collections, customer service calls and account inquiries. Conduct Pre-Service Financial Screening and Financial Clearance Interviews. Responsible for Quality Integrity related work revolving around Accounts Receivable & Self Pay Process.

All other duties as assigned by supervisor. Job Requirements High School Diploma required. Some college courses required. Computer skills, ability to type minimum 45wpm required. Knowledge of healthcare policies, clinic philosophy, and operating procedures. Knowledge of patient accounting/financial functions including but not limited to pre-admissions, registration, and revenue cycle related positions. Knowledge of Epic and EMR applications.

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