Patient Eligibility Counselor - FT - Days - MSS - Memorial Healthcare System
Miramar, FL
About the Job
At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
Summary:
Responsible for conducting Interviews to assess uninsured patients to determine eligibility for healthcare insurance programs (e.g. Medicaid, SSI Disability, and ACA). Acts as a Designated Representative for the patient during the Medicaid application process.
Responsibilities:
Opens and completes a Financial Assistance case with supporting documentation in the Memorial Electronic Health Record. Documents interactions with patient/representative timely and accurately. Responds to patient inquiries regarding his/her case in a timely manner.
Prepare routine account status update reports for management regarding account management.
Prepare and file patient s application for Medicaid and/or SSI Disability using documentation obtained from the patient or patient s representative. Follow up with patient and/or agencies; requests and attends hearings and appeals as necessary. Respond timely to clinical staff inquiries around the application status.
Conduct interviews with uninsured patients and/or their representative to determine any potential coverage or benefits for which they may be eligible. Screen patient for potential disabling conditions. Advises patients of their financial responsibility upon completion of the application process.
Competencies:
ACCOUNTABILITY, BILLING, CUSTOMER SERVICE, DEVELOPS RELATIONSHIPS, HEALTHCARE INDUSTRY, PATIENT SAFETY - ANCILLARY/SUPPORT, PRODUCTIVE WORK MEETINGS, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR
Education and Certification Requirements:
High School Diploma or Equivalent (Required)
Additional Job Information:
Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be able to work flexible hours. Must have a reliable personal form of transportation during work hours to perform in hospital/bedside patient visits. Travel reimbursement will be provided. Required Work Experience: No prior work experience required. Other Information: Prefer to have knowledge of the Florida Medicaid Program and the Medicaid application process.
Working Conditions and Physical Requirements:
Shift:
Primarily for office workers - not eligible for shift differential
Disclaimer: This job desc
Summary:
Responsible for conducting Interviews to assess uninsured patients to determine eligibility for healthcare insurance programs (e.g. Medicaid, SSI Disability, and ACA). Acts as a Designated Representative for the patient during the Medicaid application process.
Responsibilities:
Opens and completes a Financial Assistance case with supporting documentation in the Memorial Electronic Health Record. Documents interactions with patient/representative timely and accurately. Responds to patient inquiries regarding his/her case in a timely manner.
Prepare routine account status update reports for management regarding account management.
Prepare and file patient s application for Medicaid and/or SSI Disability using documentation obtained from the patient or patient s representative. Follow up with patient and/or agencies; requests and attends hearings and appeals as necessary. Respond timely to clinical staff inquiries around the application status.
Conduct interviews with uninsured patients and/or their representative to determine any potential coverage or benefits for which they may be eligible. Screen patient for potential disabling conditions. Advises patients of their financial responsibility upon completion of the application process.
Competencies:
ACCOUNTABILITY, BILLING, CUSTOMER SERVICE, DEVELOPS RELATIONSHIPS, HEALTHCARE INDUSTRY, PATIENT SAFETY - ANCILLARY/SUPPORT, PRODUCTIVE WORK MEETINGS, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR
Education and Certification Requirements:
High School Diploma or Equivalent (Required)
Additional Job Information:
Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be able to work flexible hours. Must have a reliable personal form of transportation during work hours to perform in hospital/bedside patient visits. Travel reimbursement will be provided. Required Work Experience: No prior work experience required. Other Information: Prefer to have knowledge of the Florida Medicaid Program and the Medicaid application process.
Working Conditions and Physical Requirements:
- Bending and Stooping = 40%
- Climbing = 0%
- Keyboard Entry = 80%
- Kneeling = 40%
- Lifting/Carrying Patients 35 Pounds or Greater = 0%
- Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
- Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40%
- Lifting or Carrying > 75 lbs Non-Patient = 0%
- Pushing or Pulling 0 - 25 lbs Non-Patient = 80%
- Pushing or Pulling 26 - 75 lbs Non-Patient = 40%
- Pushing or Pulling > 75 lbs Non-Patient = 40%
- Reaching = 80%
- Repetitive Movement Foot/Leg = 0%
- Repetitive Movement Hand/Arm = 80%
- Running = 0%
- Sitting = 80%
- Squatting = 0%
- Standing = 80%
- Walking = 80%
- Audible Speech = 80%
- Hearing Acuity = 80%
- Smelling Acuity = 0%
- Taste Discrimination = 0%
- Depth Perception = 80%
- Distinguish Color = 0%
- Seeing - Far = 80%
- Seeing - Near = 80%
- Bio hazardous Waste = 60%
- Biological Hazards - Respiratory = 60%
- Biological Hazards - Skin or Ingestion = 60%
- Blood and/or Bodily Fluids = 60%
- Communicable Diseases and/or Pathogens = 60%
- Asbestos = 0%
- Cytotoxic Chemicals = 0%
- Dust = 60%
- Gas/Vapors/Fumes = 60%
- Hazardous Chemicals = 60%
- Hazardous Medication = 40%
- Latex = 80%
- Computer Monitor = 80%
- Domestic Animals = 0%
- Extreme Heat/Cold = 0%
- Fire Risk = 0%
- Hazardous Noise = 0%
- Heating Devices = 0%
- Hypoxia = 0%
- Laser/High Intensity Lights = 0%
- Magnetic Fields = 0%
- Moving Mechanical Parts = 0%
- Needles/Sharp Objects = 0%
- Potential Electric Shock = 0%
- Potential for Physical Assault = 40%
- Radiation = 0%
- Sudden Decompression During Flights = 0%
- Unprotected Heights = 0%
- Wet or Slippery Surfaces = 60%
Shift:
Primarily for office workers - not eligible for shift differential
Disclaimer: This job desc
Source : Memorial Healthcare System
