The Patient Service Representative is based on-site at the hospital. The representative will work closely with the patient and their family to secure government benefits, primarily Medicaid and Social Security Disability, to secure payment for care. The Patient Service Representatives work independently and as part of a team. On-site advocates will partner with patients to ensure patients understanding of all processes and assist with any questions or obtain proper documentation on all applications. Representatives will need outstanding communication skills, strong computer skills and the ability to multitask while working in a fast-paced environment.

Job Duties

Verify insurance, screen for eligibility and update hospital system
Review daily work queues for new accounts
Meet with patients on-site to screen and secure applications for Medicaid and Disability
Obtain all needed documentation from patient or hospital system to secure a completed application
Make determinations on the type of application a patient may qualify for, based on financial criteria as well as Disability criteria. Will review medical records to determine if the diagnosis meets the criteria as defined by the Social Security Administration
Travel occasionally to perform Field Visits, which includes:
- Visiting patient homes during evening and weekend hours
- Preparing and delivering information packets to patient homes
- Explaining the Medicaid process to patients and obtaining the necessary documentation for an application approval

Requirements

Valid driver’s license
2 years Healthcare or eligibility background
Experience in working with people from all socio-economic backgrounds preferred
Knowledge of state and federal government benefits preferred
Proficient computer skills and ability to use a tablet
Ability to travel occasionally when needed

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