Medicaid Eligibility Specialist - Full Time - Days at AdventHealth

Date Posted: 2/28/2021

Job Snapshot

  • Job Schedule
    Full-Time
  • Date Posted:
    2/28/2021
  • Job ID:
    21002610
  • Job Family
    Patient Financial Services
  • Travel
    Yes, 25 % of the Time
  • Shift
    1 - Day

Job Description


Description

Medicaid Eligibility Specialist Advent Health Daytona Beach/Palm Coast

 

Location Address: 301 Memorial Medical Parkway Daytona Beach, FL 32117

 
Top Reasons To Work At Advent Health Daytona Beach

Career growth and advancement potential

Health Insurance Coverage

High quality of life with low cost of living on the shores of sunny Daytona Beach, FL.

 
Work Hours/Shift:
Full Time, Day 8:00a-4:30p or 9:00a-5:30p
 
You Will Be Responsible For:
  • Verifies insurance coverage for all new patients.
  • Reviews coverage and explains specific patient responsibilities such as deductibles, copays, etc. to the patient.
  • Develops payment plans including self-pay contracts and time payment agreements, based on patient’s ability to pay, for patients referred from physicians and/or self-referrals.
  • On request, provides patients with an estimated quote of charges for services.
  • Resolves financial problems identified by the patient and addresses them in a timely manner.
  • Reviews daily census for all uninsured patients and/or those who have poor insurance coverage to determine intervention needed. 
  • Meets with all uninsured patients within 24 hours of admissions by completing a thorough financial assessment to ensure we have screened those patients for county, state and federal programs. 
  • Gathers required financial information by phone or by direct interview in a professional manner, demonstration regard for dignity of all patients and family members.
  • Maintains up-to-date knowledge regarding medical insurance’s coverage policies
Qualifications

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

•       Verifies insurance coverage for all new patients.

•       Reviews coverage and explains specific patient responsibilities such as deductibles, copays, etc. to the patient.

•       Develops payment plans including self-pay contracts and time payment agreements, based on patient’s ability to pay, for patients referred from physicians and/or self-referrals.

•       On request, provides patients with an estimated quote of charges for services.

•       Resolves financial problems identified by the patient and addresses them in a timely manner.

•       Reviews daily census for all uninsured patients and/or those who have poor insurance coverage to determine intervention needed. 

•       Meets with all uninsured patients within 24 hours of admissions by completing a thorough financial assessment to ensure we have screened those patients for county, state and federal programs. 

•       Gathers required financial information by phone or by direct interview in a professional manner, demonstration regard for dignity of all patients and family members.

•       Maintains up-to-date knowledge regarding medical insurance’s coverage policies.

•       Maintains current knowledge on all federal, local and state programs in order to determine a payer source for uninsured patients.

•        Meets with patients and completes application for Social Security Administration disability applications, Medicare and Medicaid/Office of Disability of Determination.

•       Review discharge list and contacts any patients that have not completed making financial arrangements.

•       Discusses payment arrangements on prior accounts with patients via phone or walk in’s

•       Prepares charity applications for committee.

•       Assists Care Management team in following up and updating patient encounters with Authorizations  for In Patient Admissions via EQHealth.

•       May provide Medicaid Screening services and bill tracking at any Central Florida Division-North Region Campus, location subject to change based off of the needs of the department.

•       Responsible for other duties as assigned.

KNOWLEDGE AND SKILLS REQUIRED:

•       Technical knowledge is needed in the medical insurance billing field through at least 1 year experience.  Such knowledge may be obtained through some professional training or college education or by on-the-job training.

•       Medical terminology and proficient computer skills required.

•       Good customer service skills needed.

EDUCATION AND EXPERIENCE REQUIRED:

•       High school diploma or equivalent required. 

•       One year Hospital Experience or One year Financial Education/ Patient Access experience acceptable 


This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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