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Outreach & Enrollment Specialist (Bilingual) - Atlanta, United States - Trinity Health
Description
Employment Type:
Full time
Shift:
Description:
POSITION SUMMARY:
Will be responsible for working directly with each patient to assess their financial situation, identify available insurance options, and provide any needed enrollment assistance.
Investigates all information for validity and accuracy. Follows developed policies and procedures to obtain and verify financial information, insurance benefits and authorization. Identifies correct insurance plan, financial class, and coordination of benefits. Contacts third party payers for insurance benefits to verify eligibility and initiates authorization for services. Collaborated with appropriate personnel for Medicaid screening and/or qualifying for financial assistance. Calculates deductibles, co-payments, and cost estimates. Collects patient payment or co-payment at time of visit. Prioritizes work for optimal reimbursement and to avoid financial risk to both patient and clinic. Supports activities of Registration by documenting accurate patient income or insurance, and collection information. Efficiently and effectively uses EPIC practice management system, multi-tasking skills, and use of office equipment expected.*Provides patient care and/ or support activities appropriate to ages served; primarily adults ages or geriatric patients ages over 65.
May also include care for infant age 0-1-year, child ages 1-12 years or adolescent ages 13-17 years.EDUCATION REQUIREMENTS:
High school education diploma or equivalent. Associate or bachelor's Degree preferred. CPAR certification optional. Navigator license through Georgia Insurance Department or be able to obtain within 30 days of hire.
EXPERIENCE REQUIREMENTS:
Two (2) years minimum of work experience in financial counseling in a healthcare setting or equivalent
Computer experience:
previous EPIC EPM system experience preferred.
DESCRIPTION OF RESPONSIBILITIES:
Duties of Position- Customer Service - demonstrates the 10 standards of customer service and organizational values.
Presents a professional image:
Exhibits a manner that is cordial and respectful. Conservative, appropriate dress, and good personal hygiene.
Communicates effectively:
Timely, attentive, is respectful, and clear communication whether verbal, written or body language. Displays control and calmness in all situations.
Maintains privacy and confidentiality:
Respects others' rights, shares only what others need to know and in only appropriate places, not in public areas or near others without a need to know.
Is a team player:
Supports your fellow employees; share your time and talents; is respectful and helpful. Welcomes the new member of the department/ unit.
Knows the organization:
Seeks information; shares it with others; always is a resource. Knows who is responsible for each area of the health system with whom interaction is needed.
Assumes responsibility for cleanliness:
Observes all rules regarding eating. Leaves all areas clean and neat. Promotes safety.
Takes ownership of complaints:
Listens with genuine sincerity, apologizes, resolves or reports complaint to someone who can resolve the complaint
Celebrates Success:
Acknowledges your own as well as others' successes. Is proud Participates in departmental or organizational activities. Outreach & Enrollment Specialist which support organizational/ department objectives
JOB KNOWLEDGE:
Basic knowledge of third-party payer requirements, government programs and grants (latter can be learned on the job if person has other knowledge and experience required for financial counseling).
Computer skills required. Must be detail oriented and demonstrate strong communication, interpersonal and customer service skills. Able to work independently.Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation.
Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do.
Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
