Healthcare Financial, Inc.

Location: BridgeportCT 06601 Document ID: A8423-4PZE Posted on: 2014-10-2310/23/2014 Job Type: Regular

Job Schedule:Part-time
Minimum Education: Not Specified2014-11-22
 

Part time Patient Enrollment Specialist

SUMMARY:

The primary goal of the Out-Of-State Patient Enrollment Specialist is to work in close collaboration with patients and client hospitals to identify potential qualifying events to further enroll the patient in the appropriate health coverage program. Determine eligibility, assists in completion of appropriate applications, and serve as an advocate. Responsibilities include, but are not limited to:

 

ESSENTIAL DUTIES AND RESPONSIBILITIES:

  • Educates patient and family members on various medical outreach programs and the importance of utilizing the programs.Distributes educational materials on HFI and government programs.

  • Identifies appropriate programs for patients and facilitates enrollment and funding if needed.Helps patient obtain necessary resources.

  • Screens patients in hospitals, clinics, health centers, and/or patient’s home. Also, performs telephone screening of patients to determine eligibility.

  • Completes necessary health insurance forms within the timelines established. Documents cases including assessment and patient's consent to obtain assistance and release forms.

  • Manages referrals in accordance with company guidelines.

  • Visits patient’s homes to determine patient and family needs for follow-up on application process.

  • Travels to hospitals and other client sites throughout the day as assigned.

  • Advocates on a case, policy and program level by understanding individual needs.

  • Demonstrates receptive, empathic and sensitive attitudes by understanding and valuing cultural diversity.

  • Provides linkage with appropriate community and government resources by maintaining knowledge of other systems, making referrals and identifying other unmet needs.

  • Participates in Department and HFI Committees and Projects as assigned by the CT Operations Manager.

  • Represents the company while visiting our clients on assigned schedules; including hospitals, patient’s home and the community.

  • Required home office set-up to facilitate outreach opportunities and database updating.

  • Other duties may be assigned.

 

COMPETENCIES:  Responds promptly to customer needs; Works ethically and with integrity; Upholds organizational values; Maintains confidentiality; Speaks clearly and persuasively in positive or negative situations; Contributes to building a positive team spirit; Able to build morale and group commitments to goals and objectives; Inspires respect and trust; Looks for ways to improve and promote quality; Prioritizes and plans work activities; Reacts well under pressure; Accepts responsibility for own actions; Follows through on commitments.  Initiates change to address problems.

                                               

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Education and/or Experience:  Bachelor's degree in Business, Social Work, Nursing, Health Care, or related field.  Minimum of 2-3 years of experience in health care, case management, or home health or 1-year experience in social work/nursing or 2 years experience in human service/advocacy, required.  Medicaid, SSI, State Funded Health Programs, Public Policy knowledge and experience, a plus.

 

Other Qualifications: Willingness to travel (20-30%) required. Reliable transportation, access to a motor vehicle and vehicle insurance.  Valid driver's license, required. Home office requirements: computer, telephone and Internet access.  Excellent interpersonal, communication and presentation skills also required. Strong team-building skills. Strong analytical and decision-making skills.  Superior organizational, time management and project management skills. Self-motivated, responsible, and accountable.  Identifies own learning needs and seeks appropriate assistance. Excellent computer skills including: MS Office.  Ability to work well within a fast-paced, team-oriented environment.  Ability to function independently; have flexibility and personal integrity.

 

Certifications and Licenses: Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), Licensed Social Worker Associate (LSWA). 

 

Physical Demands:  While performing the duties of this Job, the employee is regularly required to talk or hear; stand, walk, sit, use hands to finger, handle or feel objects, and reach with hands and arms. The employee occasionally will lift and/or move up to 15 pounds.  Also, employee is required to travel to and from different work sites throughout the day, so employee may be sitting for long periods of time.  Travel time will be at least 20% of the time.

 

Work Environment: Moderate noise level associated with open office work environment.