Bilingual Medicaid Eligibility Specialist, Onsite Jackson North Medical Center

Overview

Bilingual Medicaid Eligibility Specialist, Onsite Jackson North Medical Center

Join to apply for the Bilingual Medicaid Eligibility Specialist, Onsite Jackson North Medical Center role at Centauri Health Solutions, Inc.

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions address complex problems such as uncompensated care within health systems;

appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country.

Role Summary

Bilingual Eligibility Specialists work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Bilingual Eligibility Specialists conduct analysis of patients  potential reimbursement and partner with patients to ensure complete understanding of the benefits application process. Bilingual Patient Eligibility Specialists partner with team members and clients to ensure that patients  and client s needs are met.

Schedule will be Sunday to Thursday 10:00a - 7:30p; various nights/holidays/weekends, and travel between other Jackson locations may be required.

Primary Location:
Jackson North Medical Center
160 NW 170th Street
North Miami Beach, FL 33169

Learn more about this position by watching a short interview with a current Centauri associate:

• Meet with under-insured or uninsured patients to explore & identify all possible eligibility program solutions/options
• Obtain and review referrals daily to determine appropriateness for potential interview and eligibility, begin application process when possible
• Interview patients; conduct analysis of potential reimbursement, and determine eligibility
• Introduce services, sets expectations for process and communication to ensure patient understanding
• Partner with patients to ensure patient understanding of process and assist with any questions during the application process
• Obtain and manage all needed forms from patients, and follow up throughout process
• Identify any additional patient needs and direct them to appropriate agencies for assistance
• Leverage technology and account processing workflows; maintains data integrity with accurate and concise documentation in systems
• Serve as intermediary for client, account reps and managers, while interacting with team members and hospital staff in a productive, cooperative manner
• Provide strong client service and collaboration with the team
• Understand and agree to role-specific information security access and responsibilities
• Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
• Read, understand and agree to security policies and complete all annual security and compliance training

• 2+ years customer service experience
• Must have reliable transportation
• At least one year working with FL state Medicaid/Medicare/Disability
• Must be fluent in Spanish (speak, read, write)
• Must be able to work onsite at hospital facility
• Must be able to work schedule required
• Outstanding communication skills and desire to provide excellent customer service
• A strong concept of patient advocacy and the desire to help someone every day
• A strong work ethic, ability to work independently while making a difference
• Strong computer skills and the ability to multitask while working in a fast-paced environment
• A positive outlook and eagerness to learn
• Consistent punctuality and attendance
• Healthcare experience, patient contact experience a strong plus

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.

This position is bonus eligible in accordance with the terms of the Company’s plan.

Seniority level

• Entry level

Employment type

• Full-time

Job function

• Other

Industries

• Hospitals and Health Care

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.