What are the responsibilities and job description for the Certified Application Counselor (CAC) - Full Time - Days position at Mohawk Valley Health Systems?
Job Summary
The Application Counselor is responsible for identifying patients that do not have health insurance coverage and assisting them to apply for Medicaid, Medicaid Managed Care and/or New York State Exchange insurance plans.
Core Job Responsibilities
- Reviews self-pay reports daily for new self-pay patients and searches for any eligible insurance coverage.
- Contacts self-pay patient within appropriate time frame to offer assistance.
- Offers assistance in determine eligibility for Medicaid, Medicaid Managed Care, NYS health exchange plans or MVHS financial assistance.
- Accepts both internal and external referrals, acting as a community resource as needed.
- Obtains all necessary documents, insurance forms, assignments of benefits, etc. which are essential for the compensation of hospital services.
- Ensures patient demographic information is correct in the computer system, prior to billing.
- Responsible for timely follow up on all accounts, following established guidelines.
- Documents all pertinent information and actions taken in the hospital's computer system.
- Provides coverage for accounts specialists at other MVHS locations.
- Works closely with the MVHS Financial Representatives, Account Specialists, Case Management and Billing to assist the patient.
- Tracks and records accounts assisted and the outcome, including volume and dollar amount.
- Protects and upholds each patient’s privacy and confidentiality.
- Treats each patient with professionalism as well as makes every effort to maintain their sense of dignity
- Provides regular and ad hoc reports of all accounts worked and outcome.
- Communicates clearly and collaborates with the Hospital Supervisor, Nursing Staff, physicians and co-workers, even during periods of high patient census.
- Keeps supervisor informed of any issues or unusual situations.
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Performs related duties as assigned.
Education/Experience Requirements
REQUIRED:
- High school diploma.
- Two years of experience in a Medical Office, Hospital or health insurance-related experience.
- Must have or be willing to become a New York State certified application counselor within 3 months of employment.
- Excellent customer service and communication skills required.
- Good attention to detail and accuracy.
- Ability to work independently.
- Proficient with MS Office (Excel, Word, email) and able to learn new software rapidly.
- Ability to work flexible hours/various shifts to accommodate patient needs.
- Ability to drive/travel between MVHS locations during the workday.
PREFERRED:
- 6 months or more experience working with self-pay patients to apply for Medicaid or Insurance.
Licensure/Certification Requirements
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 93710
Department PATIENT ACCESS SERVICES
Shift Days
Shift Hours Worked 8.00
FTE 0.94
Work Schedule HRLY NON-UNION-8 HR
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $19 - $26 per hour
Salary : $19 - $26
