iNerc

applicants

GENERAL SUMMARY OF DUTIES – Interviews and assists uninsured/underinsured patients with eligibility for Medicaid or Social Security Disability.

DUTIES INCLUDE BUT ARE NOT LIMITED TO:
• Reviews all referred uninsured patients for potential state and federal assistance programs.
• Assists with application process to facilitate possible assistance approval and timely billing.
• Visits with patient in hospital or outside location (i.e., residence, employer, etc.) to finalize documents vital to assistance approval.
• Submits inpatient applications directly to social services, follows application status to completion, updates account with verified insurance information and ensures timely billing.
• Maintains knowledge of all state and federal program requirements; shares information with coworkers and supervisors.
• Reviews all inpatient admissions to identify and ensure accurate record of all Medicaid primary and secondary eligible days. If application denied, assists patients with appeals process as needed.
• Works collaboratively with various departments: Case Management, Admissions, Finance, as well as Physician offices and clinics.
• Maintains log of all Medicaid or Social Security Disability (SSI) pending accounts to ensure all accounts are tracked and completed.
• Maintains log and documentation for all Medicaid eligible days identified, but not registered in Meditech as Medicaid to ensure accurate reporting on the Medicare cost report.
• Serves as a backup for Financial Counselor position, reviewing in-house patients to ensure insurance coverage information and/or financial situation documented in Meditech is accurate.
• Exhibits ethical behavior; performs job duties in compliance with all Regulatory Agencies, as well as, Corporate and Hospital Policies.
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Other duties as assigned’,’!*!KNOWLEDGE, SKILLS & ABILITIES
• Knowledge of state and federal assistance program requirements preferred.
• Experience interacting with local Social Services personnel or departments.
• Strong effective communication skills; verbal, written and negotiating skills.
• Bilingual/Spanish preferred (may be required depending on facility).
• Ability to read, analyze and interpret state and federal regulations.
• Strong customer service skills.
• Strong problem-solving skills. Ability to anticipate problems and work effectively to resolve issues.
• Knowledge of medical terminology and computer literate.

EDUCATION
• High school diploma or GED required

EXPERIENCE
• At least two years work experience interacting with customers and patients regarding financial issues, financial eligibility experience preferred

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