Financial Eligibility Advisor

Interview patients in person or by telephone and determines eligibility. Conduct comprehensive financial screenings for uninsured and underinsured patients to determine eligibility for New Jersey Charity Care, New Jersey Medicaid, and other governmental assistance programs in accordance with Uncompensated Care Trust Fund Regulations. Meet with patients and families to obtain, verify, and analyze detailed financial, demographic, and residency information based on exact regulatory criteria. Navigate multiple internal and external systems required for eligibility determination, application submission, and follow-up. Educate patients regarding program requirements, documentation responsibilities, timelines, and potential outcomes. Perform all interactions with professionalism, empathy, cultural sensitivity, and confidentiality while completing financial registration processes. Complete related forms and applications for assistance. Complete and submit Charity Care, Medicaid, and other assistance applications accurately and within required timeframes. Assist patients in completing applications and obtaining necessary supporting documentation. Complete written financial evaluations within established turnaround standards. Maintain a complete, accurate and systematic set of records. Maintain thorough, accurate, and compliant documentation for all financial screenings, determinations, and applications. Ensure timely submission of financial adjustments and supporting documentation to support accurate patient accounts and reimbursement.