Job Overview:
Responsible for interviewing patients to determine financial assistance eligibility for programs such as Charity Care and Medicaid and obtain accurate information from patient/family. Accountable for obtaining Residential Contracts and Charity Care contracts. Responsible for processing referrals from HOC Psychosocial Services and Admissions to assist family with completion of Medicaid process including: 1) Assessment for eligibility, 2) Secure supporting documentation, 3) Conduct interview with case worker as authorized representative for patient who is unable to handle their own administrative affairs, 4) As requested, secure Long Term Care placement as related to Medicaid eligibility. Collaborates with HOC Marketing to develop relationships with Long Term Care facilities for placement and referral.
Job Requirements:
Associate's Degree or Diploma in General Studies
Ability to operate multiple computer applications including Outlook, MITS, Word, Excel and EPIC
Excellent verbal and written skills
Effective problem solving and critical thinking skills
Basic understanding of medical insurance
Medical terminology
2-3 years experience Customer Service Healthcare Service Access,
Patient Accounting or related field
Healthcare Revenue Cycle
LTC eligibility and Home and Community Based Services Waiver eligibility
Job Responsibilities:
Demonstrates excellent customer service skills while interviewing patients to verify accuracy of registration information and to determine financial assistance eligibility including Charity Care, HCAP, Medicaid eligibility and/or other appropriate assistance programs.
Educates patient and family on financial responsibility and financial assistance options. Quotes accurate cost for Residential care and educates patient/family on various length of stay at HOC In-Patient Care Centers.
Obtains Residential Contracts and Charity Care Contracts. Collects first payment for new Residential patients and patients who have been approved for HOC Charity Care.
Collaborates with HOC Business Office, Psychosocial Services and Admissions, county agencies for Job and Family Services in Warren, Hamilton, Butler, Clermont and Brown counties, as well as Long Term Care facilities regarding care management, insurance verification, patient accounting, Medicaid and/or other service eligibility to ensure a timely billing process for each patient.
Process referrals received from HOC Psychosocial Services and Admissions to assist family with completion of Medicaid process including: 1) assessment for eligibility, 2) secure/obtain supporting documentation, 3) conduct interview with caseworker as authorized representative for patient who is unable to handle their own administrative affairs, 4) as requested, secure Long Term Care placement as related to Medicaid eligibility.
Collaborate with HOC Marketing Department to build relationships with LTC facilities through education for purposes of HOC market expansion
Other Job-Related Information:
Travel: Must have dependable transportation and willingness to travel within the HOC geographic region(Butler, Warren, Hamilton, Clermont and Brown counties) to HOC IPCCs and/or patient homes.
Working Conditions:
Climbing - Rarely
Concentrating - Consistently
Continous Learning - Frequently
Hearing: Conversation - Consistently
Reading - Consistently
Sitting - Frequently
Standing - Frequently
Thinking/Reasoning - Consistently
Walking - Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:
Serve: ALWAYS...
* Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
* Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
* Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS...
* Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
* Offer patients and guests priority when waiting (lines, elevators)
* Work on improving quality, safety, and service
Respect: ALWAYS...
* Respect cultural and spiritual differences and honor individual preferences.
* Respect everyone's opinion and contribution, regardless of title/role.
* Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS...
* Value the time of others by striving to be on time, prepared and actively participating.
* Pick up trash, ensuring the physical environment is clean and safe.
* Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS...
* Acknowledge wins and frequently thank team members and others for contributions.
* Show courtesy and compassion with customers, team members and the community |
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TriHealth
medical insurance
Nov 13, 2024