Payer Enrollment Specialist

Sarah Bush Lincoln • Mattoon, IL

1d • $18 - $28

About The Position

Payer Enrollment Specialists are responsible for initiating and assisting customers through the enrollment process for all applicable payer sources (including Medicaid, Qualifying Health Plans, Social Security Disability Insurance, Moms and Babies Program (MPE) etc.). Works with inpatients, outpatients, and non-patients and follows through until an eligibility determination has been made.

Requirements

• High School (Required)
• Driver's License - State of Illinois

Nice To Haves

• Certified Application Counselor (CAC)
• Certified Application Counselor - Sarah Bush Lincoln

Responsibilities

• Any other duties or responsibilities as assigned by management.
• Certificate for CAC - Certified Application Counselor required if/when the hospitals is CDO certified.
• Conduct active follow through on completed applications to help ensure deadlines are met.
• Conduct home visits as needed.
• Educate and assist clients in obtaining required documentation for the application process.
• Enroll qualified individuals into applicable payer programs (local/state/federal) including Medicaid, All Kids, Health Insurance Plans, Social Security Disability Insurance, etc.
• Interviews potential clients and verify all client information while maintaining a compassionate, judgement-free environment.
• Maintains expertise in eligibility, enrollment, and program specifications of the various government payer programs available to patients.
• Prepare and maintain reports (results, tracking, etc) and keep accurate records of case load.
• Serves as a resource and responds to questions regarding government payers/insurance
• Submit applications to the Department of Health and Human Services and/or other designated intake centers.
• Work closely with Case Managers and Medicaid Billers to ensure accurate and timely billing.

Benefits

• When you come to work for Sarah Bush Lincoln or Fayette County Hospital Long Term Care, you have our commitment to help make this the best work experience of your life.
• Career development is available through continuing education and on-site training, so come grow with us!
• We are striving to be the employer of choice in the area.
• Employees reap the benefit of our work culture which is steeped in professional and personal development programs.
• We have developed a solid benefit package to help retain our employees, while providing them opportunities to grow their careers.
• We support on-site classroom learning programs and internet courses, and we have a generous tuition reimbursement program-- all designed to help staff achieve their goals.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED