Financial Eligibility Specialist Job at FETTER HEALTH CARE NETWORK INC

FETTER HEALTH CARE NETWORK INC Johns Island, SC 29455

Description:


  • Functions in accordance with and in support of FHCN’s mission, vision, policies and procedures.
  • Review patient demographics to check eligibility for all patients; verify financial coverage.
  • Interview patients in order to assist with and begin the process to access financial assistance; procure necessary paperwork from patients, including proof of income and any other pertinent documents.
  • Establish a positive working relationship with outside agencies; develop a collaborative working relationship with contact person.
  • Coordinate with in-house case managers and resources to facilitate a patient/client application process to outside agencies; whenever applicable, do an intra-agency referral to a case manager. All billable services will be referred to an appropriate in-house staff member.
  • Determine a patient’s eligibility for FHCN’s in-house discount/sliding fee scale; input sliding fee information into the practice management system.
  • Facilitate payment plan with the appropriate in house billing staff.
  • Access and have a basic understanding of all agency practice management systems.
  • Update eligibility and financial information on a regular basis.
  • Educate patients on FHCN’s intake policies.
  • Stays current with enabling program options within the community and state.
  • Perform other job duties and responsibilities as assigned.
Requirements:


  • Possess “people” skills and enjoy working in a health care setting; and be able to listen and communicate effectively.
  • Possess and utilize effective organizational skills.
  • Be able to work effectively and productively in a high stress and high “needs” environment serving the under and uninsured population.
  • Be able to operate telephone system and maintain functions of all computerized systems.
  • Must possess basic math skills.
  • Possess and utilize proficient use of Microsoft Office applications: Word, Excel and Outlook.
  • Maintains positive behaviors, communications and other outward expressions regarding FHCN.
  • Maintains positive, constructive, cooperative and professional working relationships with coworkers.
  • Seeks to continuously improve skills and knowledge.
  • Maintain confidentiality and HIPAA compliance.
  • Follow local, state and federal legal guidelines related to ACA and any other subsidized programs.

EDUCATION AND EXPERIENCE

  • High School Diploma/GED.
  • Bilingual preferred
  • Minimum 1 year as a medical receptionist and/or customer service experience preferred.
  • Current ACA Curriculum Certification



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