Patient Financial Service Team Lead, FT Days, Eligibility and Financial Clearanc

Gaithersburg, MD
Oct 01, 2022
Oct 18, 2022
Full Time
Adventist HealthCare seeks to hire an experienced Patient Financial Advisor - Eligibility and Financial Clearance Team Lead who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.

As a Patient Financial Advisor III, you will:
• Acts as lead in providing escalation oversight for the patient financial process
• Independently problem solves and identifies opportunities for improvement. Working with management to develop new financial policies where appropriate
• Communicate clearly to patient or patient designee, insurance coverage/benefits, patient financial obligations, and impact of unpaid services
• Provide feedback to Patient Financial Advisors.
• Ensure compliance of all policies and procedures by staff.
• Acts as thought partner for financial policies and procedures as they relate to coverage verifications, authorizations, financial options, and AHC financial assistance

Qualifications include:
• High School Graduate with some college experience
• Minimum of 3 years of experience within a healthcare financial environment, which can include insurer or public health setting.
• Minimum of 1 years of experience scheduling, establishing eligibility and/or payment authorizations.
• Strong knowledge and training in government rules and regulations, including TPLs, WC, and other payment sources and liabilities.
• Requires knowledge of MD state regulations, 501R, payment, billing, and adjudication processes
• Knowledge and utilization of Windows desktop applications including Word and Excel.

At Adventist HealthCare our job is to care for you. We do this by offering:
• Work life balance through non rotating shifts
• Recognition and rewards for professional expertise
• Free Employee parking
• Competitive comprehensive benefit plans offered (including health, disability, PTO and 403B retirement plan with matching and 3 year vesting)
• 100% Coverage for inpatient care - at Adventist HealthCare facilities
• 100% Coverage for urgent care nationwide - after copay

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today! Apply now to be considered.

Work Schedule:

Full Time Day Shift, Hybrid, In-Office/Remote

Monday - Thursday 8:00am to 5:00pm

Friday 8:00am - 3:00pm

COVID-19 Vaccination

Adventist HealthCare requires all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination and , if offered, may elect to be vaccinated at a n designated Adventist HealthCare location.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.

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