Patient Service Representative, Onsite Eligibility Enrollment, McLaren Flint Hospital

Stellenbeschreibung:

Patient Service Representative, Onsite Eligibility Enrollment, McLaren Flint Hospital

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.

Company Name: Centauri Health Solutions
Employment Type: Full Time
Experience: 2+ Years
Salary: $30 to $34 Hourly
Location: Remote Option Available
Work Schedule: 5 days a week

Role Summary

Patient Service (Eligibility) Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Eligibility Representatives conduct analysis of patients’ potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Patient Eligibility Representatives partner with team members and client to ensure that patients’ and client’s needs are met.

Location & Schedule

Position will be located primarily at McLaren Flint Hospital, 401 S Ballenger Hwy, Flint, MI 48532; travel to other McLaren sites will be required.
Schedule will be Monday to Friday, 9:00 am to 5:30 pm.

Role Responsibilities

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, set 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; maintain 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 organization’s information security policies
Read, understand and agree to security policies and complete all annual security and compliance training

Role Requirements

2+ years customer service experience
Medicaid experience strongly preferred
Fluent in Spanish (speak, read, write)
Must be able to work onsite at hospital facility
Must be able to work required schedule
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, and patient contact experience a strong plus

Benefits

Competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan.

EEO & Vaccination Policy

The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law. Centauri currently maintains a policy that requires several in‑person and hybrid office workers to be fully vaccinated; new employees in the mentioned categories may require proof of vaccination by their start date.