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Healthcare Eligibility Specialist

2 months ago

Kansas City, Missouri, United States Centauri Health Solutions Inc Full time

Healthcare Eligibility Specialist - Onsite Hospital Medicaid Services

Centauri Health Solutions Inc. is dedicated to enhancing the lives and health outcomes of individuals enrolled in government-sponsored healthcare programs, including Medicare Advantage and Medicaid. Our mission is to provide comprehensive support to payors and providers through innovative outreach, advanced analytics, and data-driven solutions.

Position Overview:

The Healthcare Eligibility Specialist plays a crucial role in collaborating with hospital staff, patients, and team members to assess program eligibility. This position involves engaging with patients to evaluate their potential for reimbursement and guiding them through the benefits application process.

Key Responsibilities:

  • Engage with under-insured or uninsured patients to identify and explore all available eligibility program options.
  • Review daily referrals to assess suitability for interviews and initiate the application process when feasible.
  • Conduct patient interviews, analyze potential reimbursement, and determine eligibility.
  • Introduce services and set clear expectations for the process to ensure patient comprehension.
  • Assist patients in understanding the application process and address any inquiries they may have.
  • Collect and manage necessary documentation from patients, providing follow-up throughout the process.
  • Identify additional patient needs and connect them with appropriate resources for assistance.
  • Utilize technology and maintain data integrity through accurate documentation in systems.
  • Act as a liaison between clients, account representatives, and management while fostering productive interactions with team members and hospital staff.
  • Deliver exceptional client service and collaborate effectively with the team.
  • Adhere to role-specific information security protocols and responsibilities.
  • Ensure the confidentiality and safety of data and systems by following organizational information security policies.
  • Complete all required security and compliance training annually.

Qualifications:

  • Minimum of 2 years of experience in customer service.
  • Exceptional communication skills with a commitment to providing outstanding customer service.
  • Strong advocacy for patients and a genuine desire to assist individuals daily.
  • Demonstrated work ethic with the ability to work independently while making a positive impact.
  • Proficient computer skills and the capability to multitask in a dynamic environment.
  • A positive attitude and eagerness to learn and grow.
  • Consistent punctuality and attendance are essential.
  • Experience in healthcare or direct patient contact is highly desirable.

At Centauri Health Solutions Inc., we are committed to fostering a rewarding work environment that encourages personal and professional growth. We offer competitive compensation and a comprehensive benefits package, including generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, and opportunities for community engagement and professional development.