Medicaid/CharityCare Eligibility Representative

Panacea Healthcare Solutions, Inc.; East Windsor Township (NJ); On-site; USD 36,000 - 48,000; Full time

Job summary

Panacea Healthcare Solutions, Inc. is seeking Medicaid/CharityCare Eligibility Representatives to support hospital clients in New Jersey. The role involves helping patients apply for Medicaid or Charity Care, interviewing applicants, and collecting income data to determine eligibility.

You will document cases in automated systems, follow up for complete information within tight timeframes, and work at client hospital sites in the NJ area. Strong communication and accuracy are essential.

Qualifications

• High school diploma or GED required; bachelor’s preferred.
• Excellent verbal and written communication skills.
• Ability to work in a fast-paced, high-volume environment.

Responsibilities

• Assist patients in applying for Medicaid/Charity Care for the client facility.
• Interview patients or representatives to gather eligibility information.
• Obtain, verify, and calculate income/resources for eligibility.
• Document case records in automated systems for each client.
• Follow up with applicants to obtain complete information within timelines.
• Complete all forms related to Medicaid/Charity Care eligibility.
• Perform any additional tasks assigned by the Manager.

Skills

Medicaid knowledge

Interviewing

Customer service

Data entry

Education

High school diploma/GED

Bachelor’s degree preferred

Tools

EHR systems

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medicaid/CharityCare Eligibility Representative

KAC Medicaid Full Time East Windsor, NJ, US

The KA Consulting Services division of Panacea has been assisting hospitals and healthcare systems with the intricacies of reimbursement since 1978. Throughout our history, we have focused on helping our clients navigate the complexity of both governmental and commercial-payment models with the dual goals of optimizing revenue and achieving compliance. Our extensive knowledge base and years of industry experience provide a blueprint for clinical decision making, data analysis, and documentation – the backbone for a successful hospital or health system.

Panacea is looking for multiple Medicaid/CharityCare Eligibility Representatives to work at client sites at hospital locations in the NJ area.

Essential Job Functions and Primary Duties:

• Assisting patients in applying for financial assistance through Medicaid or Charity Care on behalf of our client facility.
• Interviewing patients or authorized representatives via phone or in person to gather information to determine eligibility for medical benefits.
• Obtaining, verifying, and calculating income and resources to determine client financial eligibility.
• Documenting case records using automated systems to form a record for each client.
• Following up with applicants to obtain accurate and complete information within strict timeframes.
• Completing/following up on all forms related to Medicaid and Charity Care eligibility.
• Performing any additional tasks related to the position assigned by the Manager.

Minimum Qualifications:

• High school diploma/GED, Bachelor’s degree is preferred.
• Must be ambitious and self-directed in a fast-paced environment and can perform in a high volume, multitasking setting.
• Must be trustworthy , professional, detail and goal oriented .
• Must have exceptional customer service and excellent verbal/written communication skills.
• Must be able to learn and work with Medicaid eligibility regulations.

Preferred Qualifications:

• Knowledge of Medicaid and Charity Care program.
• Experience working in a hospital setting.