Medicaid/CharityCare Eligibility Representative

Panacea Healthcare Solutions, LLC; Flemington (NJ); On-site; USD 27,552 - 34,440; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

FSA/HSA

Life insurance

Disability insurance

EAP

401(k) with company match

Paid time off

Paid holidays

Job summary

Panacea Healthcare Solutions is seeking a Medicaid/CharityCare Eligibility Representative to assist patients applying for financial assistance at client facilities. The role involves interviewing patients, collecting income data, and documenting eligibility decisions in automated systems.

Ideal candidates have a High school diploma or GED (Bachelor’s preferred), excellent customer service and communication skills, and the ability to learn Medicaid eligibility regulations in a fast-paced,

Qualifications

• High school diploma/GED required; bachelor's degree preferred.
• Demonstrates exceptional customer service and strong verbal/written communication.
• Able to learn Medicaid eligibility regulations and work in a fast-paced, high-volume environment.

Responsibilities

• Assist patients in applying for Medicaid or Charity Care at client facilities.
• Interview patients or representatives by phone or in person to gather eligibility information.
• Obtain, verify, and calculate income/resources to determine financial eligibility.
• Document case records using automated systems to form a patient record.

Skills

Customer service

Communication skills

Multitasking

Detail oriented

Professionalism

Education

High school diploma/GED

Bachelor's degree preferred

Job description

Description

The KA Consulting Services division of Panacea Healthcare Solutions 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 Healthcare Solutions is looking for a Medicaid/CharityCare Eligibility Representative to work at our client facilities with patients applying for financial assistance.

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.

Requirements

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.
• Ability to speak and read Spanish.

Benefits: Panacea Healthcare Solutions offers medical, dental, vision, FSA/HSA, life and disability insurance, EAP, voluntary benefits, a 401(k) with company match, paid time off, and paid holidays, subject to eligibility, plan terms, and company policies. Compensation: The anticipated pay range for this position is $20 - $25 per hour, depending on skills, qualifications, experience, geographic location, and business needs.