It's inspiring to work with a company where people truly BELIEVE in what they're doing!

When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:

The Medicaid Eligibility Specialist performs verification of benefits and obtains authorizations in accordance with all state, federal and third party payor contractual requirements.

Qualifications:

* High School Diploma or GED

* Minimum of one (1) year of medical billing and collection or office experience

* Knowledge of third party billing and state and federal collection regulations preferred

* Ability to prioritize and multi-task independently with little guidance

* Must be self-motivated and service oriented

* Excellent written and verbal communication skills

* Accurate typing and data entry skills

Competencies:

* Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

* Represent the Company professionally at all times through care delivered and/or services provided to all clients.

* Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.

* Comply with Company policies, procedures and standard practices.

* Observe the Company's health, safety and security practices.

* Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.

* Use resources in a fiscally responsible manner.

* Promote the Company through participation in community and professional organizations.

* Participate proactively in improving performance at the organizational, departmental and individual levels.

* Improve own professional knowledge and skill level.

* Advanced electronic media skills.

* Support Company research and educational activities.

* Share expertise with co-workers both formally and informally.

* Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities:

* Scans admissions for patients without insurance and files Medicaid applications

* Coordinates with families, social workers, patients, etc.

* Performs insurance benefit verification for all payors.

* Obtains authorization as required by plan benefit.

* Processes incoming correspondence from payors.

* Resolves any issues with coverage and escalates complicated issues to the Supervisor.

* Ensures timely, complete and accurate processing of benefit information.

* Prepares monthly nursing home room and board invoices.

* Collaborates with Medicaid Eligibility Vendor to obtain Medicaid eligibility.

* Obtains patient responsibility payment as needed.

* Performs other duties as assigned.

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.