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Patient Service Representative - Onsite Medicaid Eligibility

Company: Centauri Health Solutions, Inc.
Location: Kansas City
Posted on: May 28, 2023

Job Description:

**Patient Service Representative - Onsite Medicaid Eligibility**Kansas City, MO, USA Req #222 Monday, April 19, 2021 Centauri Health Solutions provides services to payors and providers in government sponsored healthcare programs, including Medicare Advantage and Medicaid. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, and data-driven solutions. Our services directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1,500 dedicated associates across the U.S. Centauri ranked No. 448 on Inc. Magazines 2020 Inc. 500 list of the fastest-growing private companies in the U.S. Role Summary: 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 clients needs are met. 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, 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 i nteracting 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 Role Requirements: * 2+ years customer service experience * 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 We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees 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. **Other details*** Pay Type Hourly

Keywords: Centauri Health Solutions, Inc., Kansas City , Patient Service Representative - Onsite Medicaid Eligibility, Sales , Kansas City, Kansas

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