Bilingual Medicaid Eligibility Specialist, Onsite Northside Gwinnett Hospital

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500 list of the fastest-growing companies in the U.S. For more information, visit www.centaurihs.com.

Role Summary :

Bilingual Eligibility Specialists work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Service Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of the benefits application process. Bilingual Patient Eligibility Specialists partner with team members and clients to ensure that patients' and clients needs are met.

Schedule will be Tuesday to Saturday, 9 : 00 am to 5 : 30 pm.

Location details below :

Northside Gwinnett Hospital

1000 Medical Center Blvd, Lawrenceville, GA 30046

Learn more about this position by watching a short interview with a current Centauri associate : https : / / www.youtube.com / watch?v=PFboT-nT4yg

Role Responsibilities :

Meet with under-insured or uninsured patients to explore & identify all possible eligibility program solutions / options

Obtain and review referrals daily to determine appropriateness for potential interview and eligibility, begin application process when possible

Interview patients; conduct analysis of potential reimbursement, and determine eligibility

Introduce services, sets expectations for process and communication to ensure patient understanding

Partner with patients to ensure patient understanding of process and assist with any questions during the application process

Obtain and manage all needed forms from patients, and follow up throughout process

Identify any additional patient needs and direct them to appropriate agencies for assistance

Leverage technology and account processing workflows; maintains data integrity with accurate and concise documentation in systems

Serve as intermediary for client, account reps and managers, while interacting with team members and hospital staff in a productive, cooperative manner

Provide strong client service and collaboration with the team

Understand and agree to role-specific information security access and responsibilities

Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies

Read, understand and agree to security policies and complete all annual security and compliance training

Role Requirements :

2+ years customer service experience

Must have reliable transportation

At least one year working with FL state Medicaid / Medicare / Disability

Must be fluent in Spanish (speak, read, write)

Must be able to work onsite at hospital facility

Must be able to work schedule required

Outstanding communication skills and desire to provide excellent customer service

A strong concept of patient advocacy and the desire to help someone every day

A strong work ethic, ability to work independently while making a difference

Strong computer skills and the ability to multitask while working in a fast-paced environment

A positive outlook and eagerness to learn

Consistent punctuality and attendance

Healthcare experience, patient contact experience a strong plus

#indeed3

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Companys plan.

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

Factors which may affect starting pay within this range may include geography / market, skills, education, experience and other qualifications of the successful candidate.

This position is bonus eligible in accordance with the terms of the Companys plan.

by Jobble