Eligibility Clerk - [4:00PM - 12:30AM]
Company: Highland General Hospital
Location: Oakland
Posted on: May 8, 2024
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Job Description:
SUMMARY: Under general supervision, the Eligibility Clerk (EC)
provides a specialized clerical support service to the various
hospital and clinic registration units and screen patients for
possible eligibility into various financial programs. Specially
trained to perform the patient registration and less complex
enrollment of eligible patients into various financial assistance
programs. The Eligibility Clerks may be required to work in a 24/7
unit and may be required to work in alternate locations as
necessary. Program enrollment responsibilities include but are not
necessarily limited to the following: County Medically Indigent
Services Program (CMSP), Childhood Health and Disability Program
(CHDP), Charity (AHS's Charity Program), Presumptive Eligibility
(PE), and Cancer Detection Program (CDP). Performs related duties
as required.
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: Following are the duties
performed by employees in this classification. However, employees
may perform other related duties at an equivalent level. Not all
duties listed are necessarily performed by each individual in the
classification.
Advises patient/guarantor of financial obligations and collects and
processes deposits, co-payments and pre-payments for services.
Assists with special projects and performs related clerical and
administrative duties as required such as filing, reception, or
data entry.
Completes, submits forms and documents within the specified
timelines required by the respective agencies.
Determines the less complex enrollment options for eligible
patients into various financial assistance programs.
Informs and advises medical providers of patients' financial status
and maintains open communication with Physicians and clinical staff
to ensure timely notification of any health conditions or diagnosis
that could qualify patient for programs to assist them with their
healthcare costs.
Interprets laws and regulations of Federal, State and County
programs and advises patient of eligibility requirements, as well
as their rights and obligations in receiving financial services
from these programs. Assists patients in completing applications
and forms, as necessary, and reviews same for accuracy and
completion.
Keeps abreast of internal and external programs offered, including
those offered through mandatory departmental trainings
sessions.
Registers and interviews patients and their representatives;
includes obtaining necessary identification, accurately filling out
applications with demographic and financial information.
Reviews and follows all relevant policies, procedures, guidelines
and laws.
Utilizes computer applications and on-line programs to research.
MINIMUM QUALIFICATIONS:
Education: High School diploma or equivalent.
Minimum Experience: Bilingual, where necessary.
Minimum Experience: Demonstrated use of PC systems and general
navigation through application systems.
Minimum Experience : One-year working at AHS as Clerk II,
Specialist Clerk, Medical Clerk, Lead Clerk, or other equal
classification; one-year performing eligibility work in a medical
or clinical environment preferred. (After hire: Successful
completion of the Eligibility Academy/Training Programs and
respective examination offered through AHS within timeframe
determined by supervisor/designee.)
Keywords: Highland General Hospital, Alameda , Eligibility Clerk - [4:00PM - 12:30AM], Other , Oakland, California
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