What are the responsibilities and job description for the Mgr Eligibility Program, FT, 1st shift position at HH Health System?
Overview
Primary Responsibilities:
- In absence of staff, performs and maintains all job tasks and responsibilities of the Eligibility Specialist as outlined in the Eligibility Specialist Job Description
- Develops and maintains workflow within the department to include Registration and Billing to ensure timely eligibility award, billing and account resolution
- Ensures all Eligibility staff is properly trained, including training on all new rules and regulations on all programs
- Prepares Daily and Monthly reports accurately and timely as requested by Revenue Cycle Director and/or CFO
- Reviews and completes bi-weekly staff time edits
- Documents CPSI account progress accurately and timely
- Interacts with attorneys involving disability claims and Alabama Medicaid Agency to build positive work relations
- Expedites active Medicaid Number to billers and payment follow up for rejection errors
- Reports any troublesome issues to Revenue Cycle Director promptly
- Responds to all emails and voicemails within 48 hours
Qualifications
This position requires, at minimum, a high school diploma or GED. Bachelor’s degree in healthcare administration, business administration, or a related field is preferred. Prior experience in the healthcare environment and/or customer service is preferred. This position requires certification through Medicaid as an Application Assister and to award HPE. 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. Bi-lingual is preferred.
