Patient Eligibility Counselor - FT - Days - MSS

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.

Summary :

Responsible for conducting Interviews to assess uninsured patients to determine eligibility for healthcare insurance programs (e.g. Medicaid, SSI Disability, and ACA). Acts as a Designated Representative for the patient during the Medicaid application process.

Responsibilities :

Conduct interviews with uninsured patients and / or their representative to determine any potential coverage or benefits for which they may be eligible. Screen patient for potential disabling conditions. Advises patients of their financial responsibility upon completion of the application process.

Prepare and file patient s application for Medicaid and / or SSI Disability using documentation obtained from the patient or patient s representative. Follow up with patient and / or agencies; requests and attends hearings and appeals as necessary. Respond timely to clinical staff inquiries around the application status.

Prepare routine account status update reports for management regarding account management.

Opens and completes a Financial Assistance case with supporting documentation in the Memorial Electronic Health Record. Documents interactions with patient / representative timely and accurately. Responds to patient inquiries regarding his / her case in a timely manner.

Competencies :

ACCOUNTABILITY, BILLING, CUSTOMER SERVICE, DEVELOPS RELATIONSHIPS, HEALTHCARE INDUSTRY, PATIENT SAFETY - ANCILLARY / SUPPORT, PRODUCTIVE WORK MEETINGS, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR

Education and Certification Requirements :

High School Diploma or Equivalent (Required)

Additional Job Information :

Complexity of Work : Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be able to work flexible hours. Must have a reliable personal form of transportation during work hours to perform in hospital / bedside patient visits. Travel reimbursement will be provided.

Required Work Experience : No prior work experience required. Other Information : Prefer to have knowledge of the Florida Medicaid Program and the Medicaid application process.

Working Conditions and Physical Requirements :

• Bending and Stooping = 40%
• Climbing = 0%
• Keyboard Entry = 80%
• Kneeling = 40%
• Lifting / Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 80%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 40%
• Lifting or Carrying >

75 lbs Non-Patient = 0%

75 lbs Non-Patient = 40%

Shift :

Primarily for office workers - not eligible for shift differential

Disclaimer : This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification.

Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law.

We are proud to offer Veteran’s Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program.

Employment is subject to post offer, pre-placement assessment, including drug testing.

If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email