Eligibility Screener Team Lead

2 weeks ago

Los Angeles, United States GetixHealth Full time
This document outlines the responsibilities and duties, for the Lead Eligibility Patient Advocate Liaison (LEPAL) / Eligibility Screener Team Lead Position. To maximize assistant and support, the position must be a full-time bilingual staff that speaks, reads, and writes Spanish fluently. This position will also serve as a regular Eligibility Patient Advocate Liaison (EPAL) for Southern California. Working days can vary depending on staff availability, however this specific position will be on-site with availability to travel to other hospital sites in the region as needed.
Compensation Range: $22 - $24/hr + Quarterly Bonus Eligible

Reports and Meetings:

  • The LEPAL, will review and complete all functions for the Daily New Business and Cancel Report as assigned
  • Review and complete the Weekly Complex Account (High Dollar) report as assigned
  • Will attend the Weekly Complex Account meeting every Tuesday and Thursday as assigned
  • Will attend the Huddles at various facilities as needed.
  • Will assist supervisor with accounts in a 1200, 1300 and 1400 dispositions.
Operations
  • Will assist staff when running the floor
  • Will review and scan all approvals
  • Will Assure that scanning is completed at all facilities
  • Will assist supervisor with staff development/training
  • Will assist hospital management/case management with account inquiries to bring resolution
  • Will address daily operational issues with staff
  • Will report concerns, deficiencies, and staffing issues to management.
  • Provide Routine Audits of staff to provide feedback to supervisor
  • Other duties related to accounts and client inquires
  • Follow up on CIN numbers as needed
Essential Duties & Responsibilities
  • Field questions from Patient Advocacy Liaison Team regarding work responsibilities and concerns
  • Assist in workflow distribution and delegate work responsibilities as needed
  • Screen patients and/ or patient representatives to determine potential eligibility for third party resources
  • Explain to patients and other entities the eligibility requirements, application process, and verification requirements for applicable programs
  • Facilitate the application process when appropriate for the patient by assisting the patient in the completing of the application, scheduling appointment interviews, and obtaining required verification
  • Maintain a professional relationship with the patient and governmental agencies to ensure cooperation and compliance
  • Document pertinent patient information in the appropriate systems dictated by the health care facility and the company
  • Document account activity as required by company policies and procedures in order to support account dispositions
  • Determine potential eligibility for health care coverage in accordance to state/ federal/ and local policies and procedures and pertinent legislation.
  • Monitor patient accounts to ensure appropriate processing timeframes are met.
  • Maintain confidentiality regarding patient's health records and the company's business practices
  • Responsible for understanding and complying with all policies, procedures, and regulations relating to job duties
  • Perform other duties as assigned by management
Requirements
  • 2 years of eligibility screening experience required.
  • 2 years of medical customer service and/ or supervisory experience required. 3-4 years of medical customer service and/or supervisory experience preferred.
  • Ability to maintain the highest level of confidentiality.
  • Ability to lead, direct, and motivate others.
  • Ability to prioritize and work in a multi-tasked environment.
  • Ability to adapt to a flexible schedule.
  • Proficient personal computer skills, including Microsoft Office.
  • Excellent interpersonal, written, and oral communication skills.
  • Ability to work in a team fostered environment.


GetixHealth is an Equal Opportunity and E-Verify Employer

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