Description |
This position is responsible for providing high quality client focused service by using knowledge of local, state and federal program requirements to efficiently maintain and update general applicant information, financial, medical and personal information to support client applications. Documents and updates the PACE (Patient Advocacy at Chamberlin Edmonds System) based on daily contact of select members of assigned applicant group and application evidence requirements, i.e. work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history and documentation where evidence is required. Reviews inbox for daily work queues, identifies missing evidence and follows through to completion Answers incoming calls from clients and Health Care Representatives Assists callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support application process Effectively educates and answers inquiries from patients and family representatives regarding application process Assists clients with scheduling appointments and reminding of appointments, as needed Maintains ongoing communication with other internal Resolve Application functions to obtain information and/or provide updates regarding claim status Identifies and takes appropriate actions to complete and submit required financial, medical and personal information forms to support the client application process Reviews software system for document mailings prior to applications, medical records, etc. is packaged and mailed to external sources Receives calls and assists clients, company representatives and Healthcare Reps in resolving evidence application issues Diligently follows-up with institutions/businesses resolving issues ultimately affecting application approval Identifies appropriate escalation points and works with Escalation Team Leader to resolve issues Reviews outgoing client material for accuracy prior to submittal Complies with ethics, privacy and compliance policies and procedures Requirements REQUIRED: High School Diploma or GED Able to read and speak both English and Spanish fluently Knowledge of NY and/or NJ Medicaid and/or SSI/SSDI disability program and processes Previous case management experience Previous customer service experience Local travel to patients' homes required Strong and demonstrated verbal and written communication skills Demonstrated experience working with people of various educational and socioeconomic backgrounds Proficient computer skills including word processing and data entry Strong organizational skills including the ability to prioritize, plan and follow through Able to meet established deadlines timely and consistently Basic proficiency with MS Word and Excel programs PREFERRED: Associates or Bachelor's Degree Previous experience in a hospital business office Previous experience working for Social Security Administration (SSA), Department of Medical Assistance and/or Department of Human Services Additional Details Emdeon is an equal opportunity employer. Employment at Emdeon is based upon your individual merit and qualifications. We don't discriminate on the basis of race, color, religion, national origin, pregnancy status, gender, age, marital status, disability, medical condition, sexual orientation, or any other characteristics protected by law or ethics. We will also make all reasonable accommodations to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws.
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Requirements |
See job description.
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