Medicaid Benefits & Eligibility Specialist

ensemblehp; Lorain (OH); Presencial; USD 26 000 - 28 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Resumo da oferta

Ensemble seeks a patient access professional to join the Mercy - Lorain Hospital team in Lorain, OH. This on-site role screens uninsured/under-insured patients for Medicaid eligibility and assists with the application process to support timely submissions.

You will coordinate with Medicaid partners, gather necessary documents, and document actions in patient accounting systems while contributing to efficient revenue cycle operations.

Qualificações

• 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
• 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.
• CRCR certification within 9 months of hire.

Responsabilidades

• 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 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 job duties as assigned.

Conhecimentos

Healthcare experience

Patient interaction

Communication skills

Call center experience

Formação académica

High School Diploma or GED

Descrição da oferta de emprego

Ensemble seeks a patient access professional to join the Mercy - Lorain Hospital team in Lorain, OH. This on-site role screens uninsured/under-insured patients for Medicaid eligibility and assists with the application process to support timely submissions.

You will coordinate with Medicaid partners, gather necessary documents, and document actions in patient accounting systems while contributing to efficient revenue cycle operations.