What are the responsibilities and job description for the Eligibility Specialist, FT, 1st shift position at HH Health System?
Overview
Primary Responsibilities:
- Performs interactive interviews to elicit eligibility information, obtain and/or verify financial, employment, tax and personal demographic information and determine eligibility for public assistance programs and services for all service types for self-pay and Medicare only
- Analyzes financial and eligibility information to determine initial or continuing eligibility for multiple aid programs
- Monitors on-going eligibility by obtaining periodic updated information of eligibility factors and takes appropriate actions on changes
- Manages, organizes and prioritizes caseload so that necessary case records and documents are processed and updated within specific time limits established by regulation and local policy
- Prepares Daily and Monthly reports accurately and timely as requested by Revenue Cycle Director and/or CFO
- Awards Hospital Presumptive Eligibility in accordance with The Alabama Medicaid Agency
- Preforms diligent follow up with patients, attorneys and appropriate Medicaid agency caseworker throughout process
- Documents CPSI account progress accurately and timely
- Compiles evidentiary requirement for patients applying for disability
- Interacts with attorneys involving disability claims and Alabama Medicaid Agency to build positive work relations
- Expedite active Medicaid Number to billers and payment follow up for rejection errors
- Troubleshoot and resolve issues daily with Eligibility Programs Manager
- Responds to all emails and voicemails within 48 hours
Qualifications
This position requires, at minimum, a high school diploma or GED. Associate’s or Bachelor’s degree in a field related to healthcare billing, business, or a related field is preferred. Prior experience in the healthcare environment and/or customer service is preferred. A working knowledge of computers and systems to include Microsoft Word, Excel, and Outlook are necessary. This position requires the ability to communicate in a pleasant, professional, concise, and caring manner. It also requires critical thinking and problem solving to ensure the best care possible for our patients.
