Benefits Eligibility Specialist

Details of the offer

*CAREER OPPORTUNITY OFFERING:*


* Bonus Incentives


* Paid Certifications


* Tuition Reimbursement


* Comprehensive Benefits


* Career Advancement


* This position pays between $19.95 - $22.00/hr based on experience.




*\*\*This Position is On-Site on Phoenixville, PA and requires Bilingual abilities in English/Spanish\*\**








Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program.
Assists with application processes to facilitate accurate and appropriate submissions.
Follows-up on submitted applications to insure timely billing or adjustment processing.




*Essential Job Functions:*


* Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions


* Effectively communicating with the patient to obtain documents that must accompany the application


* Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting


* Documenting all relevant actions and communication steps in assigned patient accounting systems


* Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors


* Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.


* Other job duties as assigned.




*Employment Qualifications:*




_Minimum years and type of experience:_


* 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.


* Bilingual in English/Spanish




_Minimum Education:_


* High School Diploma or GED.
Combination of post-secondary education and experience will be considered in lieu of degree.




_Certifications:_


* CRCR within 9 months of hire (*Company Paid)*




_Other knowledge, skills, and abilities preferred:_


* Understanding of Revenue Cycle including admission, billing, payments and denials.


* Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.


* Knowledge of Health Insurance requirements.
Knowledge of medical terminology or CPT or procedure codes.


* Patient Access experience with managed care/insurance and Call Center experience highly preferred.




#INDHP




Job Type: Full-time




Pay: $19.95 - $22.00 per hour




Benefits:


* 401(k)


* Dental insurance


* Flexible spending account


* Health insurance


* Health savings account


* Life insurance


* Paid time off


* Retirement plan


* Vision insurance


Schedule:


* 8 hour shift


* Day shift


* Monday to Friday


* No nights


* No weekends








Education:


* High school or equivalent (Required)




Experience:


* healthcare w/patients hospital financial issues: 1 year (Required)




Language:


* English and Spanish (Required)






Work Location: In person


Nominal Salary: To be agreed

Source: Appcast_Ppc

Job Function:

Requirements

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