Patient Eligibility Representative

2 weeks ago

Greeley CO, United States Centauri Health Solutions Full time

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Centauri Health Solutions employs 1700 dedicated associates across the country. Bilingual Patient Eligibility Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Eligibility Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Schedule will be: Tuesday through Saturday 10:00am until 6:30pm
Obtain and review referrals daily to determine appropriateness for potential interview and eligibility, begin application process when possible
• conduct analysis of potential reimbursement, and determine eligibility
• Partner with patients to ensure patient understanding of process and assist with any questions during the application process
• Identify any additional patient needs and direct them to appropriate agencies for assistance
• Leverage technology and account processing workflows; maintains data integrity with accurate and concise documentation in systems
• Serve as intermediary for client, account reps and managers, while interacting with team members and hospital staff in a productive, cooperative manner
• Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
• Read, understand and agree to security policies and complete all annual security and compliance training
Must be fluent in Spanish (speak, read, write)
• Must be able to work onsite at hospital facility
• A strong concept of patient advocacy and the desire to help someone every day
• Strong computer skills and the ability to multitask while working in a fast-paced environment
• Healthcare experience, patient contact experience a strong plus
#We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

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