Healthcare Case Manager

1 month ago

Rochester, United States TEKsystems Full time

Description:

  • Assess under and uninsured patient and families for community, urgent and chronic care health care coverage and payer opportunities. This may include NYS/ other state, federal entitlement programs, and community –based programs

  • Review self-pay census to identify under and uninsured

  • Receives referrals from community agencies and internal health care team members

  • Initiates contacts with patient/family/representative to assess necessary assistance and prioritization of needs

  • Maintains reports, provide necessary documents and data by deadlines and upon request of supervision

  • Documentation according to policies and procedures, and in the patient medical record for all patients

  • Understanding of the verification process through insurance websites, and basic understanding of PFS billing process

  • Obtain client's release of information, completion of Medicaid application, necessary Department of Social Services forms, explain Medicaid and FINA processes, and follow-up needs.

  • Attends appointments at DSS and or other agencies with/or to represent patients as appropriate

  • Assist and facilitate in obtaining necessary Medicaid or health program eligibility documents; Community Outreach to obtain documentation, as necessary

  • Upholds HIPPA and client policies and procedures throughout process

  • Completes clear action plans, prioritization of case load to move each case to closure

Skills:

Phone support, Customer service, Customer service oriented, Microsoft office, Call center, Administration, healthcare management, patient financial service, patient care, document management, Medicaid, HIPPA laws

Pay: $18-$19.25/hr

Shift: M-F 8-4:30pm

Additional Skills & Qualifications:

  • AAS in related field with two years’ experience preferred or an equivalent combination of work experience in financial counseling, billing and/or customer service required.

  • Knowledge of variety of health programs from Medicaid, federal, state, and local programs; their regulations, processes and financial eligibility qualifications. Demonstrate experience working with diverse populations

  • Basic computer skills and programs proficiency.

  • Have the ability to understand, apply, and enroll for health coverage through the Marketplace and comply with privacy and security laws, and other program standards

Experience Level:

Intermediate Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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