CAREER OPPORTUNITY OFFERING:
Bonus Incentives
Paid Certifications
Tuition Reimbursement
Comprehensive Benefits
Career Advancement
This position pays between $18.65 - $20.50/hr. based on experience
**This position is located On-Site at Carilion - New River Valley in Christiansburg, VA*
Interviews uninsured/under-insured patients to determine eligibility for a state Medicaid benefit or location Financial Assistance program. Assists with application processes to facilitate accurate and appropriate submissions. Follows-up on submitted applications to insure timely billing or adjustment processing.
Essential Job Functions:
- Reviewing all referred uninsured/under-insured patients for program eligibility opportunities, initializing and coordinating the application process to facilitate accurate and appropriate submissions
- Effectively communicating with the patient to obtain documents that must accompany the application
- Following submitted applications to determination point, updating applicable insurance information and ensuring timely billing or adjustment posting
- Documenting all relevant actions and communication steps in assigned patient accounting systems
- Maintaining working knowledge of all state and federal program requirements; shares information with colleagues and supervisors
- Developing and maintaining proactive working relationship with county/state/federal Medicaid caseworker partners, working collaboratively with other revenue cycle departments and associates.
- Other job duties as assigned.
Employment Qualifications:
Minimum years and type of experience:
- 1-2 years of experience in healthcare industry, interacting with patients regarding hospital financial issues.
Other knowledge, skills, and abilities preferred:
- Understanding of Revenue Cycle including admission, billing, payments and denials.
- Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.
- Knowledge of Health Insurance requirements. Knowledge of medical terminology or CPT or procedure codes.
- Patient Access experience with managed care/insurance and Call Center experience highly preferred.
- Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
Minimum Education:
- High School Diploma or GED. Combination of post-secondary education and experience will be considered in lieu of degree.
Certifications:
- CRCR within 9 months of hire.