Apply on Employer Site

Thomas Jefferson University · 14 hours ago

Financial Advocate

Philadelphia, PA

Full-time

Onsite

New Grad, Entry Level

Thomas Jefferson University is a nationally ranked not-for-profit health care system dedicated to providing high-quality clinical care and education. The Financial Advocate is responsible for assisting patients with understanding their insurance benefits and developing financial plans, while also managing Oncology Patient Assistance Programs and ensuring compliance with payer requirements.

Continuing EducationE-LearningEdTechEducationHigher EducationMedicalNon ProfitSTEM EducationTrainingUniversities

Responsibilities

Demonstrates strong knowledge of healthcare insurance, particularly Medicare and Medicaid, and understands hospital and physician claims, insurance payments, and patient financial responsibility

Manages all aspects of Oncology Patient Assistance Programs, including enrollment, submitting claims after insurance payments, and staying current with program and insurance policy changes

Communicate effectively with the Medical Oncology team and leadership to resolve issues related to verification, registration, and benefit coordination, ensuring timely solutions

Maintains strong technical skills, particularly in Microsoft Excel, and can navigate multiple systems to track and manage patient financial assistance efficiently

Ensure compliance with payer requirements, HIPAA regulations, and internal protocols while consistently demonstrating professionalism and the hospital's core values in all interactions

Qualification

Healthcare insurance knowledgeOncology Patient Assistance ProgramsMicrosoft ExcelMedical Assistance applicationsElectronic medical records (EMR)Communication skillsInterpersonal skillsOrganizational skillsProblem-solving ability

Required

High School diploma or GED required

Demonstrates strong knowledge of healthcare insurance, particularly Medicare and Medicaid, and understands hospital and physician claims, insurance payments, and patient financial responsibility

Manages all aspects of Oncology Patient Assistance Programs, including enrollment, submitting claims after insurance payments, and staying current with program and insurance policy changes

Communicate effectively with the Medical Oncology team and leadership to resolve issues related to verification, registration, and benefit coordination, ensuring timely solutions

Maintains strong technical skills, particularly in Microsoft Excel, and can navigate multiple systems to track and manage patient financial assistance efficiently

Ensure compliance with payer requirements, HIPAA regulations, and internal protocols while consistently demonstrating professionalism and the hospital's core values in all interactions

Thorough understanding of healthcare insurance plans, including Medicare, Medicaid, and commercial payers, with the ability to interpret benefit structures and patient responsibilities

Proficiency in Oncology Patient Assistance Programs, including enrollment processes, copay card applications, foundation support, and manufacturer-sponsored programs

Knowledge of state and federal financial assistance programs, including Medical Assistance categories (Adult, Healthy Horizons, BCCPT, Emergency MA, MAWD), with the ability to complete and submit applications accurately

Ability to analyze hospital and physician claims to determine patient responsibility and assist with post-insurance financial support through available programs

Strong computer skills, including Microsoft Excel, electronic medical records (EMR), and payer portals; comfortable navigating multiple systems simultaneously

Exceptional communication and interpersonal skills, with the ability to clearly explain complex financial and insurance information to patients and collaborate with clinical and administrative teams

Highly organized and detail-oriented, with the ability to prioritize multiple tasks in a high-volume, time-sensitive environment

Professional, patient-centered approach, maintaining empathy and discretion when handling sensitive patient financial concerns

Adaptability and problem-solving ability, particularly in navigating evolving payer policies and financial assistance guidelines

Commitment to organizational values, maintaining respectful and effective interactions with patients, families, co-workers, and external partners