Eligibility Clerk

4 days ago

Oakland, United States Alameda Health System Full time

**Summary**

**SUMMARY**: Under general supervision, the Eligibility Clerk (EC) provides a specialized clerical support service to the various hospital and clinic registration units and screen patients for possible eligibility into various financial programs. Specially trained to perform the patient registration and less complex enrollment of eligible patients into various financial assistance programs. The Eligibility Clerks may be required to work in a 24/7 unit and may be required to work in alternate locations as necessary. Program enrollment responsibilities include but are not necessarily limited to the following: County Medically Indigent Services Program (CMSP), Childhood Health and Disability Program (CHDP), Charity (AHS's Charity Program), Presumptive Eligibility (PE), and Cancer Detection Program (CDP). Performs related duties as required.

**DUTIES & ESSENTIAL JOB FUNCTIONS**: NOTE**: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

1. Advises patient/guarantor of financial obligations and collects and processes deposits, co-payments and pre-payments for services.

2. Assists with special projects and performs related clerical and administrative duties as required such as filing, reception, or data entry.

3. Completes, submits forms and documents within the specified timelines required by the respective agencies.

4. Determines the less complex enrollment options for eligible patients into various financial assistance programs.

5. Informs and advises medical providers of patients' financial status and maintains open communication with Physicians and clinical staff to ensure timely notification of any health conditions or diagnosis that could qualify patient for programs to assist them with their healthcare costs.

7. Keeps abreast of internal and external programs offered, including those offered through mandatory departmental trainings sessions.

9. Reviews and follows all relevant policies, procedures, guidelines and laws.

**MINIMUM QUALIFICATIONS**:
Education: High School diploma or equivalent.

Minimum Experience: Bilingual, where necessary.

Minimum Experience: One-year as working at AHS as Clerk II, Specialist Clerk, Medical Clerk, Lead Clerk, or other equal classification; one-year performing eligibility work in a medical or clinical environment preferred. (After hire: Successful completion of the Eligibility Academy/Training Programs and respective examination offered through AHS within timeframe determined by supervisor/designee.)
- Oakland, CA
- Highland General Hospital
- HGH Admitting
- Full Time - Day
- Req #: 39578-29107
- FTE: 1
- Posted: Today

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