Job Description

Location: Steward Health Care
Posted Date: 1/13/2022

POSITION SUMMARY:

This position provides Medicaid enrollment support and financial assistance services for community-based individuals.

KEY RESPONSIBILITIES:

  • Screen and assist with all steps of the Medicaid and Charity Care enrollment process.
  • Make follow-up phone calls and home visits or visits to other appropriate settings (e.g., community-based organizations) to explain the Medicaid enrollment process and to enroll individuals in appropriate services such as health insurance
  • Ensure timely submission of Medicaid or Charity application based off program guidelines
  • Gather, verify, evaluate, and enter necessary social, financial, and medical information into various applications
  • Outreach to individuals to determine Medicaid eligibility and continuing eligibility for income maintenance programs related to medical services
  • Utilizes tools to estimate patient financial obligations, including copays, deductibles, and coinsurance and then meeting with patients to discuss payment options.
  • Work with hospital team staff to identify difficult-to-reach clients and provide strategies for reaching them
  • Meets in-person with patients in Emergency Room, Inpatient Floors and Outpatient Clinics to explain patient financial responsibilities and collect/secure any out-of-pocket responsibility.
  • Receives and maintains Certified Application, if applicable
  • Meet or exceed daily standards for performance, accuracy, customer service, and quality

REQUIRED KNOWLEDGE & SKILLS:

  • Excellent customer service skills.
  • Excellent communication skills (verbal and written).
  • Knowledge of health insurance and reimbursement/billing required.
  • Attention to detail, and advanced writing and presentation skills for communicating across a variety of stakeholders.
  • Revenue Operations experience, including Patient Access, Registration, Scheduling and Financial Clearance.
  • Experience level will also be a factor in lieu of educational requirements
  • Bilingual; Spanish-speaking preferred.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

  1. Education: High School Diploma or equivalent. Associates Degree preferred.
  2. Experience (Type & Length): 3-5 years’ relevant work experience required.
  3. Other: Bilingual; Spanish-speaking preferred.

Application Instructions

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