04.06.2024
Public Benefits Eligibility Specialist
IFSC Online Ltd.
South Africa, Worcester
*EARLY CAREER OPPORTUNITY OFFERING:* * Bonus Incentives * Paid Certifications * Tuition Reimbursement * Comprehensive Benefits * Career Advancement *\*\*This is an Early Career opportunity for a Full Time onsite position at St Mary's Health Center in Worcester, MA \*\** The Public Benefits Specialist interviews uninsured/underinsured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows up on submitted applications to ensure timely billing or adjustment processing. *Essential Job Functions*: * Reviewing all referred uninsured/under-insured patients for program eligibility opportunities. * Initializing and coordinating the application process to facilitate accurate and appropriate submissions. * Effectively communicating with the patient to obtain documents that must accompany the application. * Following submitted applications to determination point. * Updating applicable insurance information and ensuring timely billing or adjustment posting. * Documenting all relevant actions and communication steps in assigned patient accounting systems. * Maintaining a working knowledge of all state and federal program requirements; shares information with colleagues and supervisors. * Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners. * Working collaboratively with other revenue cycle departments and associates. *Employment Qualifications:* * 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues preferred. _*Other knowledge, skills, and abilities preferred:*_ * Understanding of Revenue Cycle including admission, billing, payments and denials. * Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification. * Knowledge of Health Insurance requirements. * Knowledge of medical terminology or CPT or procedure codes. * Patient Access experience with managed care/insurance and Call Center experience highly preferred. *Minimum Education:* * High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree. *Certifications:* * CRCR within 9 months of hire (Company Paid) #INDHP Job Type: Full-time Benefits: * 401(k) * Dental insurance * Flexible spending account * Health insurance * Health savings account * Life insurance * Paid time off * Vision insurance Schedule: * Day shift * Monday to Friday Work setting: * In-person Education: * High school or equivalent (Required) Experience: * Healthcare: 1 year (Required) Work Location: In person #J-18808-Ljbffr
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