Experience Inc. Jobs

Basic Function: Under the direct supervision of the Financial Advocate Supervisor, this position performs daily activities related to the enrollment of Medicaid and health insurance, including Medicaid for chronic care, eligibility and self-pay services within the Patient Access Department. Activities include patient interviews before, during and after services are performed, which may also take place in the patient's room. It is expected that the incumbent of this position will aggressively pursue third party reimbursement from other governmental programs on behalf of patients. This position will require proficiency with the use of internal Hospital Information Systems, insurance eligibility and verification, and external systems. Requirements: Education: Associates Degree preferred. High School Diploma, or equivalent, is required.

Experience: Five years of experience in healthcare systems and services preferred. Experience with Medicaid eligibility and government programs preferred. Good verbal, grammatical, and customer service skills required. Responsibilities: • Aggressive completion of Medicaid and Financial Assistance applications is required. Must secure necessary signatures and update all systems, as necessary. • Successfully performs registration interview, if necessary, to secure all required demographic information, with minimal supervision. • Reviews and handles all self-pay activity before services are performed to determine necessary financial preparation is secured prior to service date, including the aggressive completion of Charity Care applications as necessary. • Performs aggressive follow up with both the payers and the patient to assure payment to Ellis Medicine • Performs the necessary follow up to secure all necessary point of service collections which includes working with Cashier and Patient Access staff to performs collections from patients for outstanding accounts receivable • Provides accurate estimates via the Price Line regarding patient liability (copayments, deductibles, coinsurance, etc.) and accurately educates the patient on their financial responsibility and expectations. • Ensures initial payment has been secured by working with the Cashier for elective non-urgent services • Performs ongoing discovery and familiarity with all governmental programs and assistance offered for coverage of hospital bills (i.e. Crime Victims, ADAP, Prenatal Care, Undocumented Immigrants, etc.); this includes a thorough understanding of alternative sponsorship programs and how to prioritize work approach and program applications. • Consistently meets initial outreach deadlines (Inpatient – prior to discharge; Scheduled High-Dollar Outpatients – 3 days prior to service). • Create reports including 1) daily accounting of all self-pay; 2) accounting of all Medicaid eligibility screening; 3) accounting of all Charity Care screening, and 4) ongoing status of all accounts. • Discuss patient and staff related issues only in a confidential manner and setting, and only with those who have the right to know. • Maintains an objective and impartial perspective based on facts and not personal influences. • Must be able to execute multi-variable math. • Informs patients of rights and responsibilities in addition to meeting all regulatory guidelines. • Maintains current knowledge skills necessary to perform competently. • Work independently and have the ability to request assistance, when needed. • Work must be accurate and thorough; attention to details must be evident. • Adheres to hospital human resource policies, including dress code policy, and procedures related to mandatory education and annual health assessment(s). • Willingly accepts other duties as assigned.

Salary Range: $15.08-$21.87/hour Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.