Billing Advocate

Job Details

Description

Summary

The Medicaid Eligibility Advocate coordinates and facilitates the Medicaid application process across multidisciplinary entities to obtain Medicaid eligibility for patients entitled to Medicaid to attain reimbursement for services provided by Jacksonville Children’s & Multispecialty Clinic. The Medicaid Eligibility Advocate also acts as a liaison between the patient, organization, and governmental agencies.

Essential Functions

Screen and evaluate patients for existing insurance coverage and federal and state assistance programs.

Complete and file applications. Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.

Ensure all insurance, demographic, and eligibility information is obtained and entered into the system accurately. Document progress notes to the patient’s file.

Work in conjunction with the organization’s Revenue Cycle & Billing teams as needed.

Maintain knowledge and understanding of local community resources.

Participates in ongoing, comprehensive training programs as required.

Follows policies and procedures to contribute to the efficiency of the office. Covers and assists with other office functions as requested.

Assist management in forecasting by providing historical information.

Excellent verbal and written communication skills

Sound judgment

Efficient

Self-starter

Strong customer service and interpersonal communication skills

Knowledge of basic accounting and accounts receivable

Accurate data entry skills with knowledge of basic keyboarding

Professional and courteous telephone skills

Ability to file numerically and alphabetically

Knowledge of confidentiality and release of information

Ability to work independently and under pressure, handling multiple tasks simultaneously

Ability to work as a team member and in conjunction with all other team members in a helpful, positive manner

Ability to project a positive and professional image to the community

Ability and willingness to collect money from patients

Minimum Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Associate degree preferred

Minimum of one-year related experience in healthcare.

Relevant education may substitute experience requirements.

Knowledge, Skills, And Abilities

Must have thorough education or training on NC Medicaid programs and eligibility

The employee must be able to understand, communicate, and react effectively to the unique needs of pediatric, adolescent, adult, and geriatric patients.

Self-motivated, analytical, quick learner, organized, detail-oriented, multi-tasker.

Physical Demands

Standing, sitting, walking, stooping, stretching, reaching, kneeling, talking, lifting.

Work Environment

In an office, climate-controlled setting with direct interactions with patients and staff in person and by phone.

The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, and skills required for the position. All employees may have other duties assigned at any time.

Benefits

401(k)

Health, Dental, and Vision insurance

Employee assistance program

AFLAC

Paid time off

#J-18808-Ljbffr