What are the responsibilities and job description for the Entitlement Coordinator position at PROMESA R.H.C.F.?
POSITION OVERVIEW:
Ensure all patients are financially cleared for admission. Interview and investigate applicants for Public Assistance, Medicaid or SSI to gather information pertinent to their applications. Complete and submit Medicaid, Public Assistance and SSI applications. Schedule applicants in a timely manner in which they should deliver necessary documents to support eligibility requirements. Monitor and dis-enroll patients who qualify to be exempt from Managed Care. Ensure patients recertify their case with HRA.
KEY ESSENTIAL FUNCTIONS:
- Ensure all patient are financially cleared prior to admission
- Ensure applications are submitted timely to HRA
- Monitor patient accounts to ensure appropriate timeframes are met
- Keep records of submitted applications and prepare month end reports
- Update the computer system with updates of all submitted cases and accounts referred
- Medicaid, SSI and Public Assistance experience preferred
- Strong communication skills both written and verbal
- Organizational skills (prioritize, plan and follow through to completion)
- Proficient in MS Office suite (Word and Excel)
REQUIREMENTS:
- High School graduate; college degree preferred.
- A minimum of three years experience in knowledge and competency of computer and related software Lotus, WordPerfect and Microsoft Office.
- Strong interpersonal, organizational and communications skills.
- Must be able to perform repetitive tasks with supervisory oversight.
- Must have prior experience in management, and continuous work experience in the social service or healthcare environment.
- Knowledge of federal and state benefit programs.
- Must be able to work in multi-tasked environment.
- Bilingual in Spanish is a plus.
