Adventist Health System Medicaid Eligibility Specialist Full Time Day in DeLand, Florida
Full Time, Days
Florida Hospital DeLand
For over 50 years, Florida Hospital DeLand, a full-service, 156-bed acute care hospital located in DeLand, FL, has served the West Volusia area and surrounding communities. Florida Hospital DeLand has grown to include Florida Hospital DeLand Victoria Medical Park, Florida Hospital Digestive Health Center and the Florida Hospital DeLand Cancer Institute. We are fully accredited by the Joint Commission on Accreditation of Health Care Organizations; which includes being awarded their Gold Seal of Approval. Our efforts to strive for excellence has led to being voted “Best Hospital and Best Rehab” by Best of the West — Daytona News Journal and a Top 100 Company for Working Families in Central Florida.
At Florida Hospital DeLand, we believe that better quality of care leads to better quality of life, so we’re committed to providing each of our patients the absolute best medical care in the most cutting-edge facilities possible, all in a caring, compassionate, neighborly environment. Our mission is to offer hope and healing to all of our patients in conjunction with our mission to extend the healing ministry of Christ within our community.
You will be responsible for:
Verifies insurance coverage for all new patients.
Reviews coverage and explains specific patient responsibilities such as deductibles, copays, etc. to the patient.
Develops payment plans including self-pay contracts and time payment agreements, based on patient’s ability to pay, for patients referred from physicians and/or self-referrals.
On request, provides patients with an estimated quote of charges for services.
Resolves financial problems identified by the patient and addresses them in a timely manner.
Reviews daily census for all uninsured patients and/or those who have poor insurance coverage to determine intervention needed.
Meets with all uninsured patients within 24 hours of admissions by completing a thorough financial assessment to ensure we have screened those patients for county, state and federal programs.
Gathers required financial information by phone or by direct interview in a professional manner, demonstration regard for dignity of all patients and family members.
Maintains up-to-date knowledge regarding medical insurance’s coverage policies.
Maintains current knowledge on all federal, local and state programs in order to determine a payer source for uninsured patients.
Meets with patients and completes application for Social Security Administration disability applications, Medicare and Medicaid/Office of Disability of Determination.
Review discharge list and contacts any patients that have not completed making financial arrangements.
Discusses payment arrangements on prior accounts with patients via phone or walk in’s
Prepares charity applications for committee.
Responsible for other duties as assigned.
What will you need?
High school diploma or equivalent required
Two years of experience relating to Medicaid Eligibility and enrollment
Five years Patient Access Experience and or two years Financial Education experience acceptable
Technical knowledge is needed in the medical insurance billing field through at least 1 year experience.Such knowledge may be obtained through some professional training or college education or by on-the-job training
Medical terminology and proficient computer skills required
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.