Medical Benefits Evaluator

Company: Firstsource Solutions
Location: Jonesboro
Posted on: June 9, 2021

Job Description:

Location: St Bernard's in Jonesboro, AR

Hours: Monday through Friday 11am to 8pm

Brief Job Description:

The Medical Benefits Evaluator makes the initial contact with the patient whose account has been referred

from the hospital and obtains basic information to determine if potential eligibility to third

party payment sources exists.

Essential Duties and Responsibilities include the following:

Completes screening worksheet and asks basic questions to determine potential

eligibility to Medicaid, Medicare, CHIPS, Crime Victims, or other eligibility benefits. May

complete program specific applications and related forms. Completed applications,

related forms, as well as screening sheets, for patients who appear to be eligible for

government benefits, will be forwarded to the appropriate MASH staff for further action.

Patients not potentially eligible for benefits will be data entered as follows: Referrals will

be data entered into the MASH database and notes made in both MASH and hospital

systems as to disposition of screening. (i.e. declined, accepted and referred to

advocate, pended, etc.) Printouts for non-declined referrals will be made and

maintained locally. Regularly input case status comments to the MASH and hospital

databases, according to MASH/hospital protocol. Make copies medical records as

needed for patient files.

Manage and prioritize workload and job assignments so that all deadlines are met on a

timely basis. Respond quickly to requests for information and assistance (including

returning phone calls promptly and being available to other MASH staff), and using time

according to clearly arranged and communicated priorities. Immediately report to the

operations or area manager any conflicts, which could result in missed deadlines, etc.

Perform other related duties as assigned by the manager. Hours will normally involve

Monday-Friday daily shift work as well as rotating weekends if needed.

Supervisory Responsibilities:

None.

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:

High school diploma and six months of clerical experience which included data entry.

Skills:

Knowledge of Microsoft office products, fax machines, copy machines, and telephone

systems. Must be able to set and prioritize daily and weekly schedules to complete work

assignments in a timely manner. Bilingual in English and Spanish is desired.

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Keywords: Firstsource Solutions, Jonesboro , Medical Benefits Evaluator, Other , Jonesboro, Arkansas