Job Description
Facility: Administrative Regional Training Cntr
Shift: Shift 1Status: Full Time
FTE: 1.000000Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: No
Work Schedule: Days
Hours: 8am-4pm
Summary:
The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital as well as the Nursing Home Long Term Care and Sub-Acute Rehab facilities.
This position serves as the Nursing Homes Long-Term Care and Sub-Acute facilities primary contact for residents, families and responsible parties in the Medicaid application process. This Financial Advocate position is accountable for the delegation of the people, processes, document management, workflow, technology and reporting of the Medicaid application/enrollment process including the Education, screening and assisting resident, families and responsible parties. This individual specializes in Medicaid application process, evaluates what is needed to submit an application, resolves when able or delegates to the appropriate party to handle with follow up performed through completion. This individual also works directly with the Department of Social Services and other external vendors to create and maintain relationships and is responsible for direct interaction and discussion/resolution of issues with both Medicaid, external and internal stakeholders (residents, families, and responsible parties). This individual will provide information in regard to expected coverage and resident liability, collect payments or work with residents, families, and responsible parties to establish payment plans when necessary. This individual will also be responsible for securing payments, determining credit worthiness, initiating payment plans, skip tracing and reviewing county records when necessary.
Responsibilities:
EDUCATION - Bachelor's Degree required within four (4) years of hire
EXPERIENCE - Three (3) years of financial counseling experience, preferably in health care or with the department of Social Services
KNOWLEDGE, SKILL AND ABILITY - Must be able to speak, write and understand the English language
- Customer Service oriented
- Microsoft Office including Excel, Word and PowerPoint
- Highly motivated self-starter with ability to work independently
- Knowledge of government assistance programs, guidelines and application process
- Familiarity with federal and state regulations
- Familiarity of Fair Debt Collection Practices as well as skip tracing strategies
- Excellent written and verbal communication skills
- Project Management skills
WORKING CONDITIONS- Travel across CH sites and Erie County
- Central Business Office Environment