Eligibility Representative- Crestview, FL

4 weeks ago

Crestview, United States North Okaloosa Medical Center Full time
Essential Job Duties:

  • Answer phone calls in a professional and courteous manner, taking appropriate action
  • Screen patients using a positive, respectful, and courteous tone.
  • Utilize screening and determination forms to assist self-pay patients in applying for possible eligible programs and financial aid.
  • Assist patients in obtaining all papers and proof necessary so that the case can be reviewed by appropriate case worker(s).
  • Assist patients in completion of all applications.This may include assisting the patient with the required reading, writing and/or explanation of the questions on the application.
  • Maintain a high level of accuracy on all forms.
  • Facilitate payment through established ESS Collection protocols.
  • Contact the patient prior to and after the appointment to ensure that the appointments are kept.
  • Assist to secure transportation for patients to attend application appointments as necessary.
  • Conduct visits to patients' home and local agencies to conduct screening interviews, complete applications, gather necessary verification documents, drop off applications, and check status of applications.
  • Work closely with governmental agencies to complete the application processes for patients.
  • Enter correct patient data into the computer terminals.Review and follow-up on patient accounts in a timely manner.Maintain and update all patient accounts to reflect current information in a timely manner.
  • Skip trace accounts as needed.
  • Monitor accounts to ensure patient payments are received and applied to patient accounts by facility cashiers.
  • Report work in progress, addressing any backlogs, and providing a course of resolution to the Site Manager and/ or Client Services Manager/Director.
  • Comply with Hospital policy and procedures and pertinent laws or regulations
  • Observe professional ethics in maintaining confidential information acquired concerning the personal, financial, medical, or employment status of patients and their families.
  • Follow accepted safety practices for patients and hospitals, report safety hazards and initiate appropriate action, and participate in safety instructional programs.
  • Must be able to pass and maintain Certification for Application Counseling for states necessary for position.
  • Other duties as assigned
Job Qualifications:
  • High school diploma required
  • 1 year of experience in customer service / healthcare business office / or social services
  • Customer facing experience

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