Medical Cost Assistance Program Rep

Ochsner Clinic Foundation; New Orleans (LA); Presencial; USD 22.000 - 30.000; Jornada completa

Descripción de la vacante

Ochsner Clinic Foundation in New Orleans, LA is seeking an Enrollment Specialist to assist self-pay patients with Medicaid enrollment across the health system.

You will interview referrals, explain program benefits, complete and submit Medicaid applications, and track status in EPIC. Excellent communication and data entry skills are essential to ensure timely processing and eligibility determination for patients.

Formación

• High school diploma or equivalent required; bachelor's degree preferred.
• Minimum 1 year of customer service, healthcare, or office experience.
• Strong data entry and computer skills; proficient with Windows-based software.

Responsabilidades

• Interview self-pay patients to identify Medicaid eligibility.
• Complete and submit Medicaid applications for patients.
• Update insurance coverage and FPL/billing indicators in EPIC.
• Follow up with patients and/or state agencies on case status.
• Provide excellent customer service and professional communication.

Conocimientos

Data entry

Verbal communication

Written communication

Interpersonal skills

Teamwork

Computer literacy

Educación

High School diploma or equivalent

Bachelor's degree (preferred)

Herramientas

EPIC EMR

Windows applications

Descripción del empleo

Exceptional care starts with exceptional people.

For us, this is more than a job- it's a calling. It's waking up each day, looking for ways to make a difference with a compassionate, inclusive and talented team. Ochsner empowers you to discover your passion, reach your potential, and Pursue Your Purpose. Exceptional care starts with exceptional people and teams. Together we are leading the way.

Job Responsibilities

This job is responsible for assisting self pay patients across the Health System with Medicaid enrollment applications. Responsibilities include, but are not limited to, interviewing self pay patient referrals, explaining the significance of the program to patients, completing and submitting the Medicaid application, updating the various systems with the status of the case, following up with the patient or the state on the status of the case. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Education

• Required - High School diploma or equivalent
• Preferred - Bachelors' degree

Work Experience

• Required - 1 year of customer service, healthcare, or office experience
• Preferred - Previous Medicaid Experience

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Strong interpersonal skills.
• Ability to perform effectively under conditions of fluctuating workload without compromising assigned deadlines.
• Works with minimal supervision and makes independent decisions.
• Ability to demonstrate problem resolution and follow through.
• Ability to work independently and as part of a team.

Job Duties

• Utilizes EPIC and census reports to conduct interview/screening of self-pay patients to identify eligibility for state/governmental financial programs.
• Assigns proper Federal Poverty Level (FPL) status, billing indicators and update insurance coverage in EPIC.
• Completes timely follow-up on self-pay patients and/or pending applications.
• Enrolls patients in applicable programs following government financial program guidelines.
• Provides top quality customer service experience by providing appropriate/applicable levels of competency and professionalism with each patient contact.
• Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Other related duties as required.

Other

The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and st