Public Benefits Eligibility Specialist

2 weeks ago


South Africa Ifsc Online Ltd. Full time
*EARLY CAREER OPPORTUNITY OFFERING:
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
*\*\*This is an Early Career opportunity for a Full Time onsite position at St Mary's Health Center in Worcester, MA \*\**The Public Benefits Specialist interviews uninsured/underinsured 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 ensure 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 a 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.
*Employment Qualifications: * 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues preferred.
_*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.
*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)
#INDHP

Job Type:
Full-time

Benefits:

  • 401(k)
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Day shift
  • Monday to Friday

Work setting:

  • In-person

Education:

  • High school or equivalent (Required)

Experience:

  • Healthcare: 1 year (Required)

Work Location:
In person

#J-18808-Ljbffr

  • South Africa Staff Solutions Full time

    Qualifications and Requirements:Matric FAIS Qualification an advantageExperience working in the insurance industryDuties :General : Obtain relevant information to draft proposals to clientsAttain various quotations from the providersAttend appointment with broker to offer products, assist with queries and give specialist insights and advice on types of...


  • South Africa City Of Cape Coral Full time

    THIS POSITION IS OPEN TO CURRENT CITY OF CAPE CORAL EMPLOYEES AND THE PUBLIC IS WELCOME TO APPLY IMPORTANT: Applicants are strongly encouraged to complete ALL employment, education, licenses/certifications, and skills fields within the online application. The application is the primary record for determining your employment eligibility. You may attach a...


  • South Africa Sanlam Limited Full time

    Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert Select how often (in days) to receive an alert: Location: Bellville, Western Cape, South Africa Who are we?Sanlam Fintech is a newly established digital first business within the Sanlam Group on a mission to democratise financial advice and solutions for...


  • South Africa Discovery Limited Full time

    Select how often (in days) to receive an alert: Business Unit: Discovery Health Function: Clinical Date: 24 May 2024 About Discovery Discovery's core purpose is to make people healthier and to enhance and protect their lives. We seek out and invest in exceptional individuals who understand and support our core purpose, and whose own values align with those...


  • South Africa Discovery Limited Full time

    Job Description:The role will apply to working in various settings, predominantly casualty. It is anticipated that the risk purpose will also extend into the general ward and high care/ICU settings as needed.Coordinating the care of certain patients who are vulnerable to care gaps during transitions particular entry into hospital through to the emergency...

  • Specialist Projects

    2 weeks ago


    South Africa South32 Full time

    DISCOVER A BRIGHTER FUTURE:At South32, we're meeting the challenge of enabling a sustainable future through our focus on responsibly producing commodities critical for a low-carbon world.As a collaborative, caring and inclusive company, there's no better place to make a genuine difference.Together we're making a positive, global impact that has the potential...


  • South Africa Sanlam Limited Full time

    Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create AlertSGR:Implementation Specialist - Cape TownDate: 16 May 2024Location: Bellville, Western Cape, South Africa Our vision is to be the preferred partner to the Corporate and Public Sector by providing an impressive client experience and comprehensive solutions...

  • Specialist Projects

    2 weeks ago


    South Africa South32 Limited Full time

    Press Tab to Move to Skip to Content Link Select how often (in days) to receive an alert: Create Alert Location: Hotazel, Northern Cape, ZA, 8490 Company: South32 Group Operations Pty. Ltd.DISCOVER A BRIGHTER FUTURE: At South32, we're meeting the challenge of enabling a sustainable future through our focus on responsibly producing commodities critical for a...


  • South Africa H2 Recruit Full time

    h2 Recruit is a specialist Sales Recruitment agency based in London and New York. Head of Client Success – Reward, Recognition and Engagement (HR Software)A global market leader in the HR software space who have an offering based around employee recognition, employee engagement, employee benefits is looking to add a head of client success to their UK team...


  • South Africa Umass Memorial Medical Group Full time

    Denial Resolution Specialist I page is loaded Denial Resolution Specialist I Apply remote type Remote Caregivers (Primarily Remote) locations Worcester, MA Worcester Business Center time type Part time posted on Posted Yesterday job requisition id R Are you a current UMass Memorial Health caregiver? CLICK HERE to apply through your Workday accountSchedule...


  • South Africa City Of Cape Coral Full time

    IMPORTANT:Applicants are strongly encouraged to complete ALL employment, education, licenses/certifications, and skills fields within the online application. The application is the primary record for determining your employment eligibility. You may attach a resume and cover letter to provide information in a different format, but your resume should never...


  • South Africa Rippling Full time

    Global Payroll Operations Specialist (South Africa) About Rippling Rippling gives businesses one place to run HR, IT, and Finance. It brings together all of the workforce systems that are normally scattered across a company, like payroll, expenses, benefits, and computers. For the first time ever, you can manage and automate every part of the employee...

  • Program Manager, Lead

    2 weeks ago


    South Africa Booz Allen Hamilton Full time

    An effective program requires a manager who is passionate about guiding it through the complexities of its lifecycle. It requires someone who is dedicated to identifying challenges, mitigating risks, and supporting a team with vision and focus. That's why we need you, a seasoned program manager who can ensure our sof tware program achieves success.As a lead...


  • South Africa Booz Allen Hamilton Full time

    Apply engineering physics, engineering mathematics, and materials science principles to support the design, analysis, manufacture, or maintenance of mechanical systems. Apply specific functional, working, and general industry knowledge. Develop or contribute to solutions to a variety of problems of moderate scope and complexity. Work independently with some...


  • South Africa Shopritex Full time

    Role Purpose The purpose of the DComm Regional Operations Specialist role is to execute operational efficiency across an assigned area and support the delivery of the operational goals and objectives of the eCommerce chapter. The role forms part of an operations team, ensuring the effectiveness of store and distribution operations through streamlining...


  • South Africa Fccma Full time

    Oversees all administrative, technical, and managerial functions of the Facilities Management Division of the Public Works Department. Work includes coordinating the design, construction, maintenance, and repair of all City facilities, including building expansion and modification. This position is responsible for planning and directing the activities of the...


  • South Africa Ecodit Full time

    Position Type: Full-TimeLocation: Pretoria, South AfricaECODIT is an international development firm working with governments, businesses, and local communities to advance environmentally- and socially responsible development around the world. We provide technical assistance services ranging from quick-turnaround assessments and evaluations to design and...


  • Johannesburg South, South Africa BENASIA Full time

    Our Hardware Retail store, located in the South of Johannesburg, is looking for a Pool Specialist Sales Assistant to compliment their dynamic Sales Team. The job requires the following Knowledge and Skills: - Assist customers by being available to answer questions on pool related products such as pool pumps,chemicals, sand filters etc. - Assist customers...


  • South Africa Gao Tek Inc. Full time

    Assist the HR team throughout the recruitment process Post job ads on various platforms such as career websites, university pages, LinkedIn, and other relevant channels Screen resumes, handle email communication with candidates, and input data into the Applicants Tracking System Interview eligible candidates, onboard new hires Establish and nurture...


  • South Africa Business To Mark Full time

    General The Benefits of Professional Upholstery Cleaning for Pet Owners The Benefits of Professional Upholstery Cleaning for Pet OwnersAs a pet owner, you would agree that having pets is fun but lots of hard work. Pets run around with their muddy paws and claws giving scratches and dirt to your upholstery and carpets. Pets also sometimes have a favorite...