- Conducts fee scale and insurance eligibility for clients following procedures and guidelines specific to each program.
- Calculate and implement the Ryan White Cap
- Review relevant reports and follow up to link patients to eligible insurance and/or assistance programs
- Ensure that the client's fee scale is appropriately applied to any other payer source such as Medicare, Medicaid, MADAP, and any other third-party insurance.
- Refer clients to medical case manager should someone be entitled to additional assistance.
- Working knowledge of all Maryland insurance programs and eligibility guidelines.
- Working knowledge of all Chase Brexton policies and procedures
- Compliance with all expected quality and productivity standards as set by the site Director of Operations, quality team, or their designee.
- Register clients into CPS and ability to complete Case Management visit note explaining any referrals or plans
- Complete all necessary paperwork.
- Maintains up-to-date and orderly eligibility files.
- Provide comprehensive monthly reporting of patient statistics and metrics.
- Responding to billing discussions or questions related to Sliding Fee charges
- Conducts renewal eligibility as required by each program.
- Participation in workgroups and special projects, as assigned.
- Confirms eligibility appointments with clients.
- Sets initial service appointments once eligibility has been determined.
- Provides clients with list of required eligibility documentation.
- Refer patients to new Chase Brexton services based on patient treatment needs
- Working knowledge of all service areas offered by Chase Brexton
- Must Certified Application Counselor and complete enrollments through the Maryland Health Benefits Exchange within three (3) months of hire.
- Required: Ability to understand and practice bookkeeping and accounting terminology
- Required: Ability to operate computers and other office machines
- Cultural competence and the ability to work with providing individualized care that respects and empowers patients of all ages, races, gender identities, religions, sexual orientations, ethnicities, and socioeconomic statuses.
- Bilingual preferred.
- Must be able to take responsibility and work under pressure.
- High School Diploma or GED.
- Required: Certified Application Counselor designation within three (3) months of hire.
- Required: At least three (3) years of experience with insurance verification and/or sliding fee scale determination.
- Training or background in ICD-A / CPT codes preferred.
- Knowledge of insurance and billing practices preferred.
-
Eligibility Specialist
2 weeks ago
Prince George's County Upper Marlboro, United StatesSalary: $33, $45,760.00 Annually · Location : Landover, MD · Job Type: LTGF FT With BN · Job Number: 8453 · Department: Department of Health · Division: MCHPA · Opening Date: 05/31/2024 · Closing Date: 6/4/2024 11:59 PM Eastern · Nature and Variety of Work · Come join our ...
-
Financial Eligibility Specialist
1 week ago
Chase Brexton Health Care Baltimore, United StatesJOB SUMMARY: · The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective ap ...
-
Medicaid Eligibility Specialist
6 days ago
Meduit Gaithersburg, United StatesConduct financial fact-finding interviews with patients who are seeking Medicaid and / or other community benefits. · Complete Medicaid and other applicable applications/releases. · Monitor all applicants who are eligible for Medicaid or other financial assistance or coverage p ...
-
Eligibility Specialist
1 week ago
DFR Columbia City, United StatesOverview: · THIS POSITION IS LOCATED IN COLUMBIA CITY, INDIANA · **Knowledge Services,** established in 1994 and headquartered in Indianapolis IN, is a certified woman-owned (WBE) professional services organization with over 1500 employees located in offices throughout North Amer ...
-
Medical Assistance Eligibility Specialist
5 days ago
AA Health Annapolis, United StatesMedical Assistance Eligibility Specialist · $22.50 per hour · Posted Date · 07/14/2023 · Closing Date Continuous · Bureau: Family Health Services / Medical Assistance Eligibility Program · Position Type: Full-time County Contractual · Location: 3 Harry S. Truman Parkway, A ...
-
Meduit Columbia, United StatesConduct financial fact-finding interviews with patients who are seeking Medicaid and / or other community benefits. · Complete Medicaid and other applicable applications/releases. · Monitor all applicants who are eligible for Medicaid or other financial assistance or coverage p ...
-
Clerk (m/f/d) for the area of building permits
3 weeks ago
Aurora Ventures Glen, United StatesThe district of Ebersberg is looking to fill a position as a clerk (m/f/d) for the building department at the earliest possible date. The position is permanent and part-time (50%). If the task of IT and digitalization support is taken over, the position can be filled permanently ...
-
Southern Talent Specialists Washington, United StatesJob Description · Job DescriptionJob Title: Community Outreach Specialist · Location: National Capital Region / Remote (as mission requires) · Security Clearance Required: Top Secret (TS) with Sensitive Compartmented Information (SCI) eligibility · Job Overview: The Customer Outr ...
-
Travel Nurse
2 weeks ago
Triage Glen Burnie, United StatesTriage is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Glen Burnie, MD. Shift: Inquire Start Date: 07/03/2024 Duration: 13 weeks Pay: $ / Week Travel ER RN | Glen Burnie, MD · Travel Nursing: Emergency Department Glen Burnie · Loca ...
-
Veterinary Technician
1 week ago
Banfield, The Pet Hospital Glen Burnie, United States RegularCredentialed Veterinary Technician · Banfield Pet Hospital is hiring CVTs for the following hospital locations: · Glen Burnie Hospital: 597 E Ordnance Rd, Glen Burnie, MD 21060 · Glen Burnie Southdale Hospital: 10A Mountain Rd, Glen Burnie, MD 21060 · Arundel Mills Hospital: 7663 ...
-
Urologist
1 week ago
Mercy Medical Center - Baltimore, MD Glen Burnie, United StatesSummary · Mercy Medical Center - Baltimore is seeking an experienced Urologist to join The Urology Specialists of Maryland at Mercy as a full-time employed physician. The successful candidate will: · * Replace a retiring urologist of a mature, well-established practice · * Work w ...
-
Dermatology Specialist
1 week ago
ENTAA Care Glen Burnie, United States Full timeDermatology Specialist a division of ENTAA Care, a member of Johns Hopkins Regional Physicians LLC, is a group of dermatologists, otolaryngologists and allergists in a dynamic practice in Central Maryland. The dermatology division is growing rapidly and offers a full range of ser ...
-
Special Educator
10 hours ago
Strides Therapy and Educational Services Glen Burnie, United StatesJob Description · Job DescriptionJob Title: Special Educator · Company: Strides Therapy & Educational Services · About Us: · Strides Therapy & Educational Services is a leading local provider of contract therapy and educational services dedicated to enhancing the educational exp ...
-
General Gastroenterologist
1 week ago
Mercy Medical Center - Baltimore, MD Glen Burnie, United StatesSummary · The Institute for Digestive Health and Liver Disease (IDHLD) is seeking a full-time general gastroenterologist for immediate appointment. The institute is well-established with specializations in hepatology, IBD, motility disorders, therapeutic endoscopy, colorectal sur ...
-
Database Management Specialist 2 SR
1 week ago
DUIT Glen Burnie, United StatesJob Description · Job DescriptionSalary: · We are on several winning teams...Come join us Our work environment is limitless, you matter to us, your great work will be recognized, and there are many opportunities for advancement. Davis Unlimited Information Technologies, Inc (DUI ...
-
Housing Specialist
2 weeks ago
Housing Commission of Anne Arundel County Glen Burnie, United StatesJob Description · Job DescriptionPurpose of Position: Under supervision of the Housing Services Manager, the Senior Housing Specialist acts as interim supervisor in the absence of the Housing Services Manager and performs a variety of duties in providing assistance to low to mode ...
-
Medical Billing Representative
1 week ago
Elevate Patient Financial Solution Glen Burnie, United StatesElevate Patient Financial Solutions has an excellent career opportunity available as a OOS Medicaid Claims Specialist. This position is an office-based role working in Glen Burnie, MD. The schedule for this Full Time role is Monday-Friday; 8am-5pm. · SUMMARY · Elevate provides re ...
-
Retirement Plan Specialist
2 weeks ago
Mutual of America Linthicum Heights, United States Full timeMutual of America · Job Title: Retirement Plan Specialist · Location: Baltimore, MD · Who We Are: · At Mutual of America Financial Group, we help people build the assets they need to achieve greater financial security. Our Company is built upon a solid foundation of integrit ...
-
Security Specialist, Mid
3 weeks ago
Booz Allen Hamilton Linthicum Heights, United StatesSecurity Specialist, MidKey Role: · Execute administration and coordination of client security programs to ensure compliance with DoD and organization security policies and procedures with minimal supervision. Ensure compliance with security standards and provide guidance and sup ...
-
Refund And Cash Application Specialist
3 weeks ago
University of Maryland Medical System Linthicum Heights, United States Full timeJob Description · Under general supervision, applies insurance and self-pay payment refunds on patient's hospital accounts for the University of Maryland Medical Systems Central Business Office. Contacts insurance carriers for information and/or clarification regarding financial ...
Financial Eligibility Specialist - Glen Burnie, United States - Chase Brexton Health Care
Description
JOB SUMMARY:
The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective applicants and patients.
Not responsible for Chase Brexton billing discussions or questions that are not related to Sliding Fee charges.MAJOR DUTIES AND RESPONSIBILITIES:
Analytical and Critical Thinking
SKILLS AND ABILITIES:
EDUCATION AND/OR EXPERIENCE:
WORKING CONDITIONS/PHYSICAL DEMANDS:
Work is typically performed in an office environment.
The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
#J-18808-Ljbffr
