Specialist - Medicaid & Financial Assistance

HonorHealth; Phoenix (AZ); On-site; USD 42,000 - 54,000; Full time

Job summary

HonorHealth is seeking a detail-oriented Patient Financial Assistance Specialist to support Medicaid eligibility and financial-assistance workflows in the Revenue Cycle Administration. The role involves outreach, documentation collection, and guiding patients through Medicaid or organizational financial assistance applications.

Responsibilities include validating income and household data, updating case records in Qventus, Epic, and HEAplus, and coordinating with partners to move cases toward

Qualifications

• Associates in a related field or equivalent combination of education and related experience.
• 1 year of direct experience in patient financial assistance, Medicaid eligibility, revenue cycle, or related areas.
• Working knowledge of Medicaid application/renewal processes and AHCCCS requirements.
• Ability to produce clear, written documentation and explain sensitive financial requirements respectfully.

Responsibilities

• Performs outreach to patients identified through eligibility indicators and workflows.
• Explains documentation requirements and guides patients through Medicaid and financial-assistance steps.
• Obtains and validates household, income, asset and other supporting information.
• Creates, updates, and documents information in Qventus, Epic, HEAplus, and related systems.
• Coordinates case handoffs and tracks information through determination or closure.

Skills

Financial assistance

Medicaid eligibility

Revenue cycle

Documentation

Communication

Epic

Education

Associate degree or related field

Tools

Qventus

Epic

HEAplus

Job description

Primary City/State: Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027 Category: Billing and Revenue Cycle Shift: Day Department: Revenue Cycle Administration Monday - Friday days, varied hours per department needs Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:

JOB SUMMARY Performs patient financial-assistance outreach, screening support, and case processing to help potentially eligible patients complete Medicaid and organizational financial-assistance requirements. Obtains and validates household size, dependent, income, asset, expense, tax, bank, volunteer-hour, and other supporting documentation; documents case activity; and coordinates Qventus, Epic, HEAplus, Access Services, and approved partners to move cases through review or documented closure. Assists customers with completing and submitting Medicaid applications through HEAplus while adhering to established procedures, access requirements, training, customer authorization, and defined role boundaries.

ESSENTIAL FUNCTIONS:

Performs timely outreach to patients identified through approved eligibility indicators, Epic work queues, Qventus workflows, facility referrals, or other authorized sources. Explains documentation requirements and guides patients through approved Medicaid and organizational financial-assistance application and renewal steps, including use of approved language-assistance resources when needed. Obtains, reviews, and validates household size, dependent, income, asset, expense, tax, bank, federal-poverty-level, volunteer-hour, and supporting documentation required by approved procedures and application materials. Creates, updates, uploads, imports, securely stores, sequences, and documents required information in Qventus, Epic, HEAplus, the access AHCCCS portal, and other approved systems; assists with and submits applications only when organizational approval, authorized user access, required training, and written customer permission are in place. Coordinates case handoffs, monitors requests for information, and follows outstanding items across Qventus, Epic, Access Services, Pre-Services, AHCCCS, and approved vendors through determination or documented closure. Protects confidential patient and financial information and escalates incomplete, inconsistent, or out-of-scope cases through defined channels. Meets established quality, timeliness, productivity, outreach, documentation, conversion-reporting, and service standards; prepares assigned case-level reports and contributes workflow feedback and training needs. Travels between assigned work sites as required.

EDUCATION:

Associates in a related field, or an equivalent combination of education and directly related experience.

Preferred EXPERIENCE:

1 year, Directly related experience in patient financial assistance, Medicaid eligibility, patient access, revenue cycle, social services, or financial-document verification.

Required Other:

• Working knowledge of financial-assistance documentation, income and household verification, federal-poverty-level concepts, Medicaid application and renewal processes, and applicable AHCCCS requirements.
• Ability to produce accurate written documentation and explain sensitive financial requirements clearly and respectfully.

Preferred Other:

• Ability to learn and accurately use Qventus, Epic, HEAplus AH -portal workflows, and other approved systems.

LICENSE AND CERTIFICATIONS:

HEA+ Certified within 60 days of hire (Must be able to pass background check during this process) 60 Days Required.

We're all in for your career. Expert care from experts who care.

At HonorHealth, you'll find something special. Our culture is built on warmth and neighborly kindness, but behind every smile is a highly skilled professional with deep expertise and unwavering dedication.

We're delivering a healthcare experience that simply feels better through:

• Nine acute-care hospitals
• Over 200 primary, specialty and urgent care centers
• More than 17,000 team members and 4,000 medical staff

Since 1927, we've been focused on doing what matters most - caring for people and communities across the greater Phoenix area. From humble beginnings to one of Arizona’s largest nonprofit healthcare systems, we're just as driven as we were a century ago. Come join us and go all in for your career.

IMPORTANT: HonorHealth is committed to providing an excellent candidate experience for candidates interested in our job opportunities. We also care about the online safety of our job seekers. Please note the following: HonorHealth employee emails come from HonorHealth (i.e [e-mail]) not a generic email address, such as gmail or yahoo. If you are suspicious of a job posting, or if you receive any email from an HonorHealth employee that you believe to be fictitious, please contact us [e-mail]. HonorHealth does not use Google Hangouts to conduct interviews or conversations. HonorHealth will not ask you to provide any personal information (i.e. drivers license, bank account, credit card information, passwords, social security number) outside of our Applicant Tracking Software before a job offer is extended. If you believe that HonorHealth has violated your civil rights or believe you have experienced discrimination, please click the link to obtain information on your rights to file a complaint. For more information, please click here.