Patient Financial Advisor III, FT Days
- Employer
- Adventist HealthCare
- Location
- Gaithersburg, MD
- Posted
- Apr 19, 2022
- Closes
- Aug 12, 2022
- Ref
- R-019361
- Function
- Nurse
- Industry
- Healthcare
- Career Level
- Experienced (Non-Manager)
- Hours
- Full Time
Adventist HealthCare seeks to hire an experienced Patient Financial Advisor III 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:
• Act as SME for the PFA roles
• Provides escalation oversight for PFA processes
• May provide process direction for all PFA roles
• Provide feedback to PFAs and Revenue Cycle Leaders for PFAs
• Ensures 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
• Can complete all PFA I and II duties when required and as a floater if needed
The Patient Financial Advisor may determine best payment solutions or impact of payment changes at any time during the patient revenue workflow, based on experience and knowledge:
• Pre-service (Scheduling, Pre-registration, etc prior to DOS)
• Point of Service
• Post Service and Pre-claim
• Post Service and Post Claim
• Post Remittance
• Pre-Collection
Qualifications include:
• Minimum of 5 years experience within a healthcare financial environment (can include insurer or public health setting as well)
• At least 3 years establishing eligibility and/or payment authorizations
• Requires strong knowledge/training in government payor rules and regulations
• Requires strong knowledge/training regarding TPLs, WC, and other payment sources and liabilities
• Requires knowledge of MD state regulations, 501R, payment, billing, and adjudication processes
• Some college or post HS education required
• Must maintain a high level confidentiality
• Must work well in stressful environments without compromising quality and accuracy.
• Strong Customer Service skills
• Ability to initiate and follow through on projects and work independently.
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:
Day Shift Full-Time
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.
As a Patient Financial Advisor III, you will:
• Act as SME for the PFA roles
• Provides escalation oversight for PFA processes
• May provide process direction for all PFA roles
• Provide feedback to PFAs and Revenue Cycle Leaders for PFAs
• Ensures 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
• Can complete all PFA I and II duties when required and as a floater if needed
The Patient Financial Advisor may determine best payment solutions or impact of payment changes at any time during the patient revenue workflow, based on experience and knowledge:
• Pre-service (Scheduling, Pre-registration, etc prior to DOS)
• Point of Service
• Post Service and Pre-claim
• Post Service and Post Claim
• Post Remittance
• Pre-Collection
Qualifications include:
• Minimum of 5 years experience within a healthcare financial environment (can include insurer or public health setting as well)
• At least 3 years establishing eligibility and/or payment authorizations
• Requires strong knowledge/training in government payor rules and regulations
• Requires strong knowledge/training regarding TPLs, WC, and other payment sources and liabilities
• Requires knowledge of MD state regulations, 501R, payment, billing, and adjudication processes
• Some college or post HS education required
• Must maintain a high level confidentiality
• Must work well in stressful environments without compromising quality and accuracy.
• Strong Customer Service skills
• Ability to initiate and follow through on projects and work independently.
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:
Day Shift Full-Time
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.