Enrollment Specialist Iii

Who We Are
JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation.  The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network.  Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance
outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?
We're more than a hospital.  We're 7,200 of the most dedicated people you could ever meet.  Our goal is to make sure the people of our community get the care they need and deserve.  As community stewards, we abide by three Rules of the Road:

1.  Own it. Everyone who wears the JPS badge contributes to our journey to excellence.
2.  Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.
3.  Don't be a jerk. Everyone is treated with courtesy and respect.  Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, diversity, and dedication.  We look forward to meeting you!

For more information, visit www.jpshealthnet.org.
To view all job vacancies, visit www.jpshealthnet.org, www.jpshealthnet.org/careers, or www.teamacclaim.org. 

Job Title:

Enrollment Specialist III

Requisition Number:

32393

Employment Type:

Full Time

Division:

PATIENT ACCESS, ELIGIBLITY & ENROLLMENT

Compensation Type:

Hourly

Job Category:

Business / Professional

Hours Worked:

Location:

Eligibility & Enrollment Center

Shift Worked:

Job Description:

Job Summary: The Enrollment Specialist III obtains third party coverage for patients (Inpatient/Outpatient) who have no other means of payment. Ensures that all payment/program possibilities are exhausted. This job approves the patient for JPS Connection and other County, State and/or Federal assistance programs and obtains missing registration items as applicable.

Essential Job Functions & Accountabilities:

1. Interviews clients or authorized representative to gather information while determining eligibility for benefits.


2. Obtains, verifies, and calculates income and resources to determine client's financial eligibility.


3. Explains available benefit programs, rights and responsibilities and other agency services to applicants/recipients and general public.


4. Conducts timely follow-up on cases and/or accounts which includes making phone calls to applicants/patients to ascertain the potential for eligibility for JPS Connection, other programs, or to obtain missing insurance information or missing registration items.


5. Approves patients for Charity Care, refers completed cases to Health and Human Services Commission (HHSC) for Medicaid and other State or Federal programs, and refer difficult accounts to eligibility team leader and/or management team in accordance with established guidelines.


6. Assists patients in completing program applications and other paperwork.


7. Accurately input and update data and/or coverages. Verify, update, enter detailed case notes, and enter third party insurance plans in the eligibility and hospital computer system when changes occur.


8. Obtains and scans all necessary demographic, financial information, missing registration items, Important Message from Medicare (IMMs), consents and other missing documents required for registration and to properly determine potential program eligibility.


9. Answers phone calls in a timely manner to ensure abandonment rate is maintained at less than 5%.


10. Maintains a minimal error rate and maintains productivity levels as determined by established standards and guidelines.


11. This position is cross trained in all areas of Eligibility & Enrollment.


12. Trains and mentors the Eligibility Specialists to ensure philosophy and guidelines are being followed.


13. Attends community outreach events as assigned (local travel as required).


14. Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

Qualifications:

Required Qualifications:

• High School Diploma, GED, or equivalent.
• 5 plus years of relevant work experience.
• Certified Application Counselor (CAC) Training Certificate (must be obtained in 60 days subsequent to hire).
• Texas Workforce Commission (TWC) Training Certificate (must be obtained in 60 days subsequent to hire).

• Associate degree in healthcare, Business or related field of study from an accredited college or university.
• Patient Access - General Consent Orientation and Patient Financial Experience.
• SAVE Immigration Verification Training.
• National Credit-Reporting System (NCS) Training.

Location Address: 
1325 S. Main Street
Fort Worth, Texas, 76104
United States