Program Support Asst (OA)

Major Program Support Assistant (OA) Duties

Health Benefits Enrollment and Eligibility Advisor:

• Advises applicants of the health care benefits they are legally entitled to in person and over the phone, initiates administrative processes for establishing care, adjudicates eligibility when discrepancies exist, and notifies appropriate healthcare personnel accordingly.

Decedent Affairs Duties:

• Responsible for all administrative functions related to the Decedent Affairs program including details of patient death cases occurring within the Medical Center.
• Serves as a liaison between Medical Center staff, next of kin, organ/body donation recovery units and funeral directors.

Beneficiary Travel Advisor:

• Demonstrates working knowledge and technical proficiency in Beneficiary Travel program administration using eligibility criteria and regulatory authorities to appropriately administer program benefits to eligible patients and caretakers.
• Prepares and processes claims for travel reimbursement, authors vouchers to reimburse travel cost to eligible beneficiaries and communicates eligibility criteria to the patient.

HOPTEL:

• Perform administrative responsibilities in management of Hoptel services.
• Ensure guest meet eligibility requirements and are able to independently function in the Hoptel environment according to orders/Hoptel notes.

Admissions:

• Will be responsible for monitoring and processing admissions and transfer of inpatients from clinics and the Emergency Room accurately and in a timely manner.
• Is required to determine eligibility for inpatient status, including medical, surgical, behavioral health, domiciliary, and long term care and alerting management/admitting provider regarding ineligible patients submitted for admission.

Note: The above is not an exhaustive list of duties and you will be expected to perform additional tasks as necessitated by the supervisor or designee.

Work Schedule: Monday- Friday, 8:00am-4:30pm

Virtual: This is not a virtual position

Physical Requirements: The work involves mostly administrative processing which requires standing, walking, sitting, stooping, bending, lifting light objects, answering the telephone and retrieving and entering data into various computer programs and databases.

Position Description Title/PD#: Program Support Asst (OA)/PD21T53A

Promotion Potential: The selectee may be promoted to the full performance level without further competition when all regulatory, qualification, and performance requirements are met. Selection at a lower grade level does not guarantee promotion to the full performance level.