Emergency Patient Access Navigator

Careers In Government; Los Angeles, Northern (CA, KY); Hybrid; USD 42,000 - 64,000; Full time

Job summary

Los Angeles County Department of Mental Health is seeking applicants for emergency Patient Resources Worker positions related to homelessness crisis. Under the emergency order, hires may be for up to 90 days with potential for permanent County employment.

Successful candidates will interview patients, determine eligibility for health care programs, assist with forms, verify coverage, and route complex cases to Patient Financial Services.

Qualifications

• Two years of experience interviewing the public to initiate or complete applications for financial assistance, credit, insurance, medical, mental health, hospital services, social security, or workers' compensation.
• Three years of clerical experience, two years of which must have involved public contact associated with the financial screening and/or registration of patients or claims billing and collection for hospital or medical services.
• Two years of experience involving public contact in the investigation and collection of accounts receivable.
• Two years of experience in a health care setting with responsibility for performing patient access related work in the Emergency Department, Urgent Care or other walk-in registration, admitting, financial screening and eligibility verification, and scheduling area.

Responsibilities

• Interviews patients or their relatives and/or representatives to obtain identifying information, financial and other eligibility data; determines the patient's potential eligibility to enroll in specific health care programs based upon diagnosis, available medical information, type of medical/clinical services, and residency status; enters and accesses data by utilizing various local and web-based information systems and databases to determine a patient's financial eligibility.
• Evaluates financial data and resources to determine the patient's ability to reimburse the County for health care services consistent with department policy; completes or assists the patient in the completion of benefits forms for third party resources; contacts private insurance companies to verify coverage and to obtain authorization for services; verifies existing governmental coverage for health care services, and screens for the patient's potential eligibility to receive Medi-Cal or other no-cost/low-cost programs.
• Communicates with patients, responsible relatives and/or representatives, attorneys, employers, agencies and insurance companies to explain County policies and to obtain, verify, or clarify information required to complete standardized billing forms. Computes plans of payment for patients whose medical share of cost has already been established.
• Completes required federal, State, and County forms for patients during emergency room visits, upon admission, and during outpatient clinic visits.
• Refers patients without existing financial resources or with complex financial eligibility issues to a Patient Financial Services Worker or facility staff member.
• Initiates and/or processes applications for a variety of reduced no-cost / low cost programs, such as ATP and UMDAP.

Education

60 semester units

Job description

Los Angeles County Department of Mental Health is seeking applicants for emergency Patient Resources Worker positions related to homelessness crisis. Under the emergency order, hires may be for up to 90 days with potential for permanent County employment.

Successful candidates will interview patients, determine eligibility for health care programs, assist with forms, verify coverage, and route complex cases to Patient Financial Services.