Medicaid Eligibility Specialist

On-Site Case Management Specialist – Medicaid Eligibility

RevCare, Inc. has an opening in Fairlawn. We are looking for self-motivated people who have strong customer service skills!

POSITION SUMMARY:

This position is responsible for providing high quality, professional Client focused service as a Vendor partner in hospital settings, as well as in our main office. RevCare Specialists screen patients who have no insurance, Medicare only, or may have limited plans for additional ways to assist with their medical costs at a time when they need the help the most! RevCare also assists the patient through each process to obtain the benefits and assistance they qualify for from beginning to end.

Description:

Full-Time: Monday – Friday 8:00am – 4:30pm

$12-16 per hour with a full benefit package (after 90 days)

Requirements:

Job Duties and Responsibilities:

• Screen/Interview patient’s bedside and over the phone to determine possible eligibility for any assistance programs available including Medicaid, HCAP, and Financial Assistance
• Discover and provide Client with updated or missed demographic and insurance information to process medical claims efficiently
• Collaborate professionally with hospital personnel by providing assistance, process updates, and other duties as needed
• Assist patients with all parts of application processes for benefits to resolve medical costs
• Mediate with County and State to ensure application processes are completed timely and accurately
• Combine resources with other team members to effectively and efficiently resolve cases
• Walk from onsite office to patient’s rooms, as well as stand during screenings for more than half of the day.

Required Knowledge, Skills and Abilities:

· 4-year degree preferred or equivalent work experience

· High School diploma or GED required

· Prior work experience in a healthcare environment and/or customer service area preferred

· Must have basic computer skills, be able to multitask, and work independently as well as part of a team

· Daily attendance and dependability is a must

· Ability to apply knowledge of federal and state programs to benefit coverage for the patient

· Reliable transportation required, preferably a valid driver’s license and proof of insurance

· Bilingual (Spanish) helpful

Job Type: Full-time

Pay: $12.00 - $16.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• In-person
• Office

Education:

• High school or equivalent (Preferred)

Experience:

• Customer Service: 1 year (Preferred)

Work Location: In person