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Revenue Cycle Eligibility Associate

Role overview

Qualifications

  • High School graduate or equivalent
  • Previous enrollment experience in the medical field preferred
  • Ability to communicate effectively and professionally in English, both verbally and in writing
  • General knowledge of health insurance guidelines

Responsibilities

  • Screen and assist with all steps of the Medicaid and Charity Care/Other Assistance Programs enrollment process
  • Make/take phone calls related to the Medicaid and Charity Process to both patients and Medicaid state representatives
  • Gather, verify, evaluate, and enter necessary social, financial, and medical information into various forms/applications
  • Collaborate with on-site leadership and financial counselors to ensure timely submission of Medicaid or Charity applications based off program guidelines

Key facts

Other skills

  • Customer Service
  • Communication
  • Typing
  • Time Management
  • Prioritization
  • Multitasking

About the company

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Quorum Health

Company details

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Job description

Revenue Cycle Eligibility Associate

Position Details:
Employment Type:  Full-Time
Location:  Remote
Reports to:  Manager, RCM

You must reside in one of these states to be eligible for this position:

Arkansas                  California                 Kentucky
Massachusetts                Nevada                    New Mexico
Oregon                  Utah                      Tennessee
Texas                     Wyoming

Job Summary:

This position provides Medicaid enrollment support and financial assistance services for community-based individuals.

Duties and Responsibilities:

  • Screen and assist with all steps of the Medicaid and Charity Care/Other Assistance Programs enrollment process.
  • Make/take phone calls related to the Medicaid and Charity Process to both patients and Medicaid state representatives.
  • Gather, verify, evaluate, and enter necessary social, financial, and medical information into various forms/applications.
  • Collaborate with on-site leadership and financial counselors to ensure timely submission of Medicaid or Charity applications based off program guidelines.
  • Maintain proper certification and training on federal and state level (if required).
  • Maintain a knowledge base of the current Medicaid/Charity/Other Assistance Programs within the state and keep up to date with ongoing changes to any policies and procedures – Federal, State, Organization.
  • Meet or exceed daily standards for performance, accuracy, customer service, and quality.
  • Performs other duties as assigned.

Knowledge, Skills, and Abilities:

  • Recognizes and consistently exhibits exceptional customer service as a critical factor in all duties performed.
  • The ability to work within a remote call center environment free from distractions and background noise.
  • Proficient in typing.
  • Ability to work independently, prioritize and multi-task.
  • General knowledge of health insurance guidelines.
  • Ability to communicate effectively and professionally in English, both verbally and in writing.  Bilingual a plus.

Work Experience, Education and Certifications:

  • High School graduate or equivalent.
  • Previous enrollment experience in the medical field preferred.

Benefits:

  • Competitive salary and benefits package.
  • Opportunities for professional development and advancement.
  • Supportive work environment with a collaborative team.
  • Comprehensive healthcare coverage.
  • Retirement savings plan.
  • Paid time off and flexible scheduling options.
  • Student loan repayment program.

 

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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