The work involves assisting self-pay patients in obtaining assistance from New York State Medicaid or making payment arrangements through self pay contracts for medical treatment received at the Erie County Medical Center Corporation. The incumbent conducts interviews to verify patient income, identification and documentation in accordance with all New York State laws and regulations encompassing New York State Medicaid/Family Health Plus and Financial Assistance Programs per hospital policies. Work is performed under the direct supervision of the Patient Access Services Supervisor. Supervision is not a function of this position. Does related work as required.
TYPICAL WORK ACTIVITIES:
Verifies patient demographic information;
Verifies insurance, determines insurance co-payments, collects co-payments and issues receipts;
Identifies and interviews uninsured/under-insured patients to assess qualifications for government or charity care programs;
Reviews and processes hardship requests/inability to pay;
Negotiates contractual payment plans and inputs information into computer system;
Assists patients in completing New York State Medicaid/Family Health Plus applications in an effort to obtain medical coverage;
Completes Financial Assistance Program applications to assess the patient's need for charity care;
Refers patients to the on-site Medicaid Satellite Office for review and processing of completed New York State Medicaid/Family Health plus applications;
Performs other related patient access services duties as assigned.
FULL PERFORMANCE KNOWLEDGES, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS: Good knowledge of office terminology, practices and procedures; good knowledge of business arithmetic and English; working knowledge of Medicaid/Family Health Plus/Financial Assistance Program application process; working knowledge of computer information systems; ability to enter data accurately using a computer keyboard; ability to meet and deal with the public in a professional and courteous matter; ability to use computer applications; ability to communicate effectively; ability to work independently; excellent customer service skills; tact; good judgment; accuracy; physically capable of performing the essential functions of the position with or without reasonable accommodation.
Graduation from high school or possession of a high school equivalency diploma and one (1) year of clerical experience in collections, billing, third party insurance claims processing, financial counseling, medical billing including New York State Medicaid, insurance verification or patient registration.
NOTE: Verifiable part-time and/or volunteer experience will be pro-rated toward meeting the full-time experience requirements.