DSHS ESH Financial Recovery Enforcement Officer 2

Description

DSHS ESH Financial Recovery Enforcement Officer

Are you knowledgeable about financial applications or have a financial background? Do you have the patience and compassion it takes to interview and communicate with behavioral health patients in a professional manner?

Join our eligibility determination team charged with investigating and determining financial responsibility for patients admitted to Eastern State Hospital and for ESH patients placed into community programs. We need your expertise to provide technical direction and training to Financial Recovery Enforcement Officers and other personnel.

In this role, you will provide direction and assistance to patients and their payees, guardians, family members, Pharmacy, Social Workers, Office of Financial Recovery, Home & Community Services, Managed Care Organizations, Social Security Administration, and Disability Determination Services.

Some Of What You'll Do.

• Establish admission information, research patient benefits/insurance/assets, scan admission documentation to OFR HQ, and create an inpatient admission folder.
• Identify, establish, and pursue third-party benefits from private and public sources and pursue third-party sources of recovery such as private and group insurance, self-funded insurance programs, government-funded health insurance and benefit programs, and certain tort claims.
• Coordinate between OFR/Residential Billing Unit and Eastern State Hospital, patients, their families, payees or guardians, and attorneys to explain state and federal regulations regarding patient financial obligations Social Security Rules, and/or insurance benefits.
• Interview patients, family members, and other professionals to research and investigate patient financial situations and potential third-party insurance benefits to ensure timely notification of the admission to the insurance company.
• Apply state/federal medical benefits program criteria to individual patient situations and complete DSHS Medicaid applications, to help the patient pay for the cost of care.
• Perform monthly audits on Financial Recovery Enforcement Officer caseloads to measure employee performance and develop metrics to provide data to managers for assistance in the development of the revenue cycle.
  
  

Who should apply?

• One year as Financial Recovery Enforcement Officer 1. OR
• 5 years of experience in the collection of civil debts, adjustment of claims, determination of financial responsibility, or investigation of financial backgrounds.
  
  

Skills And Abilities

• Ability to interview and communicate with mental health patients in a professional manner.
• In-depth knowledge of the eligibility requirements for Medicare, Medicaid, and Social Security.
• In-depth knowledge of Federal and State programs and their applicable laws, rules, regulations, policies, and directives.
• Ability to comprehend and present complex laws, regulations, and programs and their relationships to a diverse audience.
  
  

To Apply—

• Completed Application
• Resume
• Cover Letter
  
  

The Department of Social and Health Services’ (DSHS) vision that People find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring an equity, anti-racism, and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA individuals, immigrants and refugees, and families building financial security.

Questions about job number 06163 ? Contact Joshua.Shawhan@dshs.wa.gov .

Supplemental Information

Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant’s suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.

Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protect­ed veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.

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