An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
The KA Consulting Services division of Panacea Healthcare Solutions has been assisting hospitals and healthcare systems with the intricacies of reimbursement since 1978. Throughout our history, we have focused on helping our clients navigate the complexity of both governmental and commercial-payment models with the dual goals of optimizing revenue and achieving compliance. Our extensive knowledge base and years of industry experience provide a blueprint for clinical decision making, data analysis, and documentation - the backbone for a successful hospital or health system. Panacea Healthcare Solutions is looking for a Medicaid/CharityCare Eligibility Representative to work at our client facilities with patients applying for financial assistance.
Essential Job Functions and Primary Duties:
Assisting patients in applying for financial assistance through Medicaid or Charity Care on behalf of our client facility. Interviewing patients or authorized representatives via phone or in person to gather information to determine eligibility for medical benefits. Obtaining, verifying, and calculating income and resources to determine client financial eligibility. Documenting case records using automated systems to form a record for each client. Following up with applicants to obtain accurate and complete information within strict timeframes. Completing/following up on all forms related to Medicaid and Charity Care eligibility. Performing any additional tasks related to the position assigned.
Requirements:
Minimum Qualifications:
High school diploma/GED, Bachelor's degree is preferred. Must be ambitious and self-directed in a fast-paced environment and can perform in a high volume, multitasking setting. Must be trustworthy, professional, detail and goal oriented. Must have exceptional customer service and excellent verbal/written communication skills. Must be able to learn and work with Medicaid eligibility regulations.
Preferred Qualifications:
Knowledge of Medicaid and Charity Care program. Experience working in a hospital setting. Ability to speak and read Spanish.
Benefits:
Panacea Healthcare Solutions offers medical, dental, vision, FSA/HSA, life and disability insurance, EAP, voluntary benefits, a 401(k) with company match, paid time off, and paid holidays, subject to eligibility, plan terms, and company policies.
Compensation:
The anticipated pay range for this position is $20 - $25 per hour, depending on skills, qualifications, experience, geographic location, and business needs.
