Medicaid Eligibility Specialist

2 weeks ago


Cincinnati, Ohio, United States UC Health Full time
{"title": "Medicaid Eligibility Representative", "description": "Key Responsibilities

As a Medicaid Eligibility Representative at UC Health, you will play a critical role in determining patients\u0027 financial eligibility for various medical assistance programs, including Ohio Medicaid and financial assistance programs.

Key Responsibilities:

  • Interview patients or their representative to gather financial and eligibility data
  • Collect estimated patient liability, such as deductibles and co-payments
  • Verify accuracy of demographic and financial data
  • Obtain signatures for various Federal, State, and/or Local assistance programs
  • Analyze financial and eligibility data to determine potential eligibility for Federal, State, and County programs
  • Determine the patient\u0027s ability to reimburse the hospital
  • Correspond with patients, responsible relatives, attorneys, employers, agencies, and insurance companies to obtain, verify or clarify information
  • Review prior account notes and use established methods to obtain information that might aid in the application process or establish there is existing third-party coverage
  • Update system(s) as required with demographic information, account/guarantor notes, third party updates, etc...
  • Determine and manage proper course of action for optimal reimbursement of healthcare charges

Requirements

Minimum Required:

  • High School Education or GED
  • 1-2 years of office experience

Preferred:

  • Associate degree
  • 2 years interviewing the public in connection with applications for financial assistance or relevant experience in the healthcare revenue cycle and/or Epic Revenue Cycle applications

About UC Health

UC Health is committed to providing an inclusive, equitable, and diverse place of employment. We strive for innovation and provide world-class care for not only our community, but patients from all over the world.

", "lang_code": "en-US"}

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