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Eligibility Review Specialist
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Hayward, California, United States Tiburcio Vasquez Health Center Full timeJob OverviewThe Financial Screening Clerk plays a crucial role in managing patient eligibility for various healthcare programs. This position involves processing applications for new patients and conducting thorough evaluations of existing patients to ensure accurate eligibility determinations across multiple payer sources.About Tiburcio Vasquez Health...
Financial Screening Clerk
4 months ago
Tiburcio Vasquez Health Center is a non-profit community health center that is dedicated to promoting the health and well-being of our community by providing accessible, high-quality care by integrating primary care, dental care, WIC support, mental health counseling, community health education, and more.
The Financial Screening Clerk will be responsible for all patients requiring continuous program eligibility review. Will process all new patients and re-evaluate all existing patients for accurate application of eligibility on payer sources.The Financial Screening Clerk will need to have knowledge of all funding sources directly involving criteria, eligibility, and aid categories.
In addition, the Financial Screening Clerk will maintain payer source records and opening of all family registration.This is a full-time position working 40 hours per week, typically Monday through Friday with periodic Saturday hours.
Compensation:
$ $23.95 per hour, depending on experience.
Responsibilities:
Performs day-to-day administrative functions and general office duties including but not limited to word processing, copying, filing, faxing, answering phones, and data entry.
Adheres to all Clinic policies on safety and security; maintains restricted areas safe by safeguarding keyless entry codes and computer system passwords in strict confidentiality.
Must exercise utmost diplomacy and tact to provide excellent customer service for patients; practices confidentiality and privacy protocols in accordance with Clinic policies and HIPAA requirements.
Completes patient registration forms, verifies address and financial income information, and creates patient registration and account files through data entry onto the health center's computer system.
Starts new patient medical records with all required forms, assigns and maintains a log of medical records numbers that have been dispensed.
Explains the services available, charging and billing policies, and patient rights and obligations to the health center.
Counsels patients about the availability and utilization of community and county agencies for financial assistance and make referrals as appropriate.
Provides ongoing eligibility review for established patients as stated by the health center policies and upon request from the reception supervisor and clerks.
Assures compliance with all funding sources including state, city, county, and federal regulations.
Treats all patients with respect and courtesy; respects the patient's rights to confidentiality and works cooperatively with other members of the professional and non-professional staff.
Works in tandem with the Financial Eligibility Coordinator and Registration Services Coordinator to ensure proper computation of information for billing and management reports.
Exercises problem-solving and conflict resolution skills when handling patient complaints; refers patient complaints to appropriate designated personnel as needed.
Will travel among sites and work flexible hours, as required.
Performs all duties and services in full compliance with TVHC's Service Excellence Standards.
Performs all duties in support of successful EHR/EPM implementation.
Performs other services as may be required. May rotate as needed to different clinic sites.
Requirements
High school graduate or GED required.
Bilingual in English and Spanish required.
Minimum one-year experience in third-party billing, state-funded programs, payor source, and billing procedures.
Minimum two full years of clerical responsibility involving a broad range of duties; such duties may include:a. processing of documents related to financial or personal histories;b. interviewing;c. general clerical work.
Qualifications:
Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.
Must have the ability to exercise a high degree of diplomacy and tact; excellent customer service and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse people groups.
Excellent attention to detail.
Computer knowledge, e-mail, and internet skills necessary.
Willingness to learn new data systems.
Willingness to work evenings and/or weekends.
Benefits
We offer excellent benefits including:
medical (100% paid co-payments, premiums, etc.), dental, vision (including dependent and domestic partner coverage), generous paid leave benefits including holidays, Flexible Spending Accounts, retirement plans with an Employer match, tuition reimbursement, monthly treats, pet insurance, and more.
