Summary of Position:                                            

Works with the site client staff, patients and other team members to initiate client reimbursement through effective phone or face to face screening. Partners with team members and Client to ensure that client’s needs are met.

Duties and Responsibilities:

Organizes work for internal processing                                                                

• Obtains referrals from all appropriate sources.
• Reviews referrals daily for appropriateness for potential interview and eligibility
• Documents notes in hospital and Human Arc’s operating systems

Interviews patients; conducts analysis of potential reimbursement

• Introduces Human Arc services, sets expectations for process and communication to ensure patient understanding

• Interviews in-house patients and determines eligibility
• Begins the application process when possible
• Calls discharged patients to determine eligibility
• Contacts physicians, as needed, to determine eligibility
• Overcomes patient objections to appropriately complete the application
• Obtains all needed forms from patients interviewed
• Identifies patient needs and directs them to appropriate agencies for assistance
• Mails forms to patients interviewed post-discharge
• Utilizes field service as needed to obtain information from the patient
• Leverages technology and account processing workflows; maintains data integrity with accurate and concise documentation in Human Arc systems
• Foresees what needs to be done with all accounts and takes appropriate action to secure  eligibility until all methods are exhausted
• Performs patient relations referrals as appropriate
• Submits paperwork and applications as needed to entities and agencies

Duties and Responsibilities: continued

Serves as intermediary for client, account reps and managers                                  

·Interacts with team members and hospital staff in a productive, cooperative manner

• Answers questions and addresses concerns raised by clients and  team members
• Maintains awareness of level of success in meeting goals and in meeting client expectations
• Obtains needed information for  team and clients as appropriate
• Provides account transition for other staff members to develop positive working relationships with patients
• Addresses client concerns or logs concerns for discussion with appropriate management
• Attends meetings, as appropriate, with the team and with the client

Job Specific Competencies:

Knowledge:    

• Strong Literacy (grammar, spelling, math)
• Strong Microsoft Products, word, excel, outlook, windows
• Knowledge of Medicaid and HCAP eligibility requirements
• Knowledge of Community Resources

Skills:

• Excellent sales and persuasive skills
• Excellent Interview Skills
• Excellent people orientation skills/interpersonal skills
• Ability to work in an unsupervised setting
• Ability to work in a fast paced environment
• Excellent customer service skills
• Excellent stress management skills
• Excellent telephone skills
• Excellent analytical skills
• Excellent written/verbal communication
• Strong Assertiveness skills
• Excellent Organizational skills
• Excellent Problem-Solving/Decision Making
• Excellent team skill
• Excellent time management skills
• Excellent conflict management

Attributes:

• Assertive
• Attentive to Details
• Flexible
• Goal and Action Orientated
• Multi-tasking
• Honesty/Integrity
• Shows Initiative
• Profit Orientated
• Professional
• Self-Confident
• Strong Work Ethic
• Persistent