- Meet with under-insured or uninsured patients to explore & identify all possible eligibility program solutions/options
- Obtain and review referrals daily to determine appropriateness for potential interview and eligibility, begin application process when possible
- Interview patients; conduct analysis of potential reimbursement, and determine eligibility
- Introduce services, sets expectations for process and communication to ensure patient understanding
- Partner with patients to ensure patient understanding of process and assist with any questions during the application process
- Obtain and manage all needed forms from patients, and follow up throughout process
- Identify any additional patient needs and direct them to appropriate agencies for assistance
- Leverage technology and account processing workflows; maintains data integrity with accurate and concise documentation in systems
- Serve as intermediary for client, account reps and managers, while interacting with team members and hospital staff in a productive, cooperative manner
- Provide strong client service and collaboration with the team
- Understand and agree to role-specific information security access and responsibilities
- Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
- Read, understand and agree to security policies and complete all annual security and compliance training
- 2+ years customer service experience
- Must be fluent in Spanish (speak, read, write)
- Must be able to work onsite at hospital facility
- Outstanding communication skills and desire to provide excellent customer service
- A strong concept of patient advocacy and the desire to help someone every day
- A strong work ethic, ability to work independently while making a difference
- Strong computer skills and the ability to multitask while working in a fast-paced environment
- A positive outlook and eagerness to learn
- Consistent punctuality and attendance
- Healthcare experience, patient contact experience a strong plus
-
Associate Eligibility Specialist
1 week ago
Jefferson County Inc Denver, United StatesApply By: · 05/19/24 · Division: · Community Assistance Division · Management Level: · Individual Contributor · Scheduled Weekly Hours: · 40 · Benefit Eligibility: · This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, pai ...
-
Bilingual Medicaid Eligibility Specialist
3 weeks ago
Centauri Health Solutions Denver, United States Full timeCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
2 weeks ago
Centauri Health Solutions Inc Denver, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
3 weeks ago
Centauri Health Solutions Inc Denver, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
3 weeks ago
Centauri Health Solutions Denver, CO, United States Full timeCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
3 weeks ago
Centauri Health Solutions Denver, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Part D Claims Eligibility Specialist
1 week ago
InnovAge Denver, United StatesResponsibilities: · The Part D Claims Eligibility Specialist is responsible for performing a range of tasks related to claims and compliance for the InnovAge Part D plan. This includes managing and reconciling Part A claims and stays, managing participant plan enrollment status ...
-
Part D Claims Eligibility Specialist
2 weeks ago
InnovAge Denver, United StatesResponsibilities: · The Part D Claims Eligibility Specialist is responsible for performing a range of tasks related to claims and compliance for the InnovAge Part D plan. This includes managing and reconciling Part A claims and stays, managing participant plan enrollment status ...
-
Bilingual Medicaid Eligibility Specialist
2 weeks ago
Centauri Health Solutions Parker, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
6 days ago
Centauri Health Solutions Parker, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
bilingual medicaid eligibility specialist
1 week ago
Centauri Health Solutions Inc Parker, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
2 weeks ago
Centauri Health Solutions Inc Parker, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
2 weeks ago
Centauri Health Solutions Parker, CO, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
1 week ago
Centauri Health Solutions Inc Parker, United StatesCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Bilingual Medicaid Eligibility Specialist
2 weeks ago
Centauri Health Solutions Parker, CO, United States Full timeCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members an ...
-
Concrete Patcher
2 weeks ago
The High Companies Denver, United StatesDo you enjoy creating beautiful buildings that last a lifetime? Join our growing team of experienced Architectural Precast concrete workers. If you are interested in working for a company where you can use your current skills or learn new skills then High Concrete Group, LLC may ...
-
Concrete Patcher
2 weeks ago
High Concrete Group LLC Denver, United StatesDo you enjoy creating beautiful buildings that last a lifetime? Join our growing team of experienced Architectural Precast concrete workers. If you are interested in working for a company where you can use your current skills or learn new skills then High Concrete Group, LLC may ...
-
Data Entry Clerk
3 days ago
Reed Construction Inc Denver, Colorado, United StatesRequirements: · We are seeking a highly organized and detail · - Oriented individual to join our team as a Data Entry Specialist. · As a Data Entry Specialist, you will play a crucial role in maintaining and updating our company's databases, ensuring accurate and efficient data e ...
-
Community Outreach Specialist
2 weeks ago
MEXICAN AMERICAN OPPORTUNITY FOUNDATION Commerce, United States**MEXICAN AMERICAN OPPORTUNITY FOUNDATION** · **_Position:_** Community Outreach Specialist · **_Program:_** MAOF Community Development Department · **_Salary:_** $ $23.00 per hour · **_Status:_** Full-Time (40 hours per week) · **_Reports To:_** Community Development Director an ...
-
Client Support Specialist
1 week ago
Enki Health Services, Inc. Commerce, United StatesThe following statements are intended to describe the general nature and level of work being performed. They are not to be construed as an exhaustive list of all duties and responsibilities required of personnel so classified._ · **Position Summary**:The Client Support Specialist ...
Bilingual Medicaid Eligibility Specialist - Denver, CO, United States - Centauri Health Solutions
Description
Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange.
In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions.
Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement.
Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc.5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500TM list of the fastest-growing companies in the U.S.
For more information, visit Role Summary:
Bilingual Patient Service Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility.
Patient Service Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process.
Patient Service Representatives partner with team members and client to ensure that patients' and client's needs are met.Learn more about this position by watching a short interview with a current Centauri associate:
Role Responsibilities:
Role Requirements: