What are the responsibilities and job description for the Payer Enrollment Specialist position at Sarah Bush Lincoln Health Systems?
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Payer Enrollment Specialist
Job Description
Payer Enrollment Specialists are responsible for initiating and assisting customers through the enrollment process for all applicable payer sources (including Medicaid, Qualifying Health Plans, Social Security Disability Insurance, Moms and Babies Program (MPE) etc.). Works with inpatients, outpatients, and non-patients and follows through until an eligibility determination has been made.
Department: Patient Services
Hours: Full-time, 40 hours/week
Required: High School Diploma, valid driver's license, and must become a CAC (Certified Application Counselor) within 30 days
Pay: Based on experience, starting at $17.79/hour
Responsibilities
Any other duties orresponsibilities as assigned by
management., Certificate for CAC - Certified Application Counselor required if/when the hospitals is CDO certified., Conduct active follow through
on completed applications to
help ensure deadlines are met., Conduct home visits as
needed., Educate and assist clients in
obtaining required
documentation for the application process., Enroll qualified individuals into applicable payer programs (local/state/federal) including Medicaid, All Kids, Health Insurance Plans, Social Security Disability Insurance, etc., Interviews potential clients
and verify all client
information while maintaining
a compassionate, judgement-free environment., Maintains expertise in
eligibility, enrollment, and
program specifications of the
various government payer
programs available to
patients., Prepare and maintain reports
(results, tracking, etc) and
keep accurate records of case load., Serves as a resource and
responds to questions
regarding government
payers/insurance, Submit applications to the
Department of Health and
Human Services and/or other
designated intake centers., Work closely with Case
Managers and Medicaid Billers
to ensure accurate and timely
billing.
Requirements
High School (Required)Certified Application Counselor - Sarah Bush Lincoln, Driver's License - State of Illinois
Compensation
Estimated Compensation Range
$17.79 - $27.57
Pay based on experience
Salary : $18 - $28
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