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Public Benefits Eligibility Specialist
2 weeks ago
- Bonus Incentives
- Paid Certifications
- Tuition Reimbursement
- Comprehensive Benefits
- Career Advancement
*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.
_*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.
Education:
- High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.
- CRCR within 9 months of hire (Company Paid)
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
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