Centauri Health Solutions: Bilingual Patient Service Representative - Medicaid Eligibility

Company: Centauri Health Solutions
Location: Huntington Park
Posted on: November 22, 2021

Job Description:

Centauri Health Solutions provides services to payors and providers in government sponsored healthcare programs, including Medicare Advantage and Medicaid. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, and data-driven solutions. Our services directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1,500 dedicated associates across the U.S. Centauri ranked No. 448 on Inc. Magazines 2020 Inc. 500 list of the fastest-growing private companies in the U.S.Role Summary:Bilingual Patient Service Representatives work onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Patient Service Representatives conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of benefits application process. Patient Service Representatives partner with team members and client to ensure that patients' and clients needs are met. Schedule will be: (insert)Learn more about this position by watching a short interview with a current Centauri associate: https://www.Youtube.Com/watch?v=PFboT-nT4ygRole Responsibilities:Meet with under-insured or uninsured patients to explore & identify all possible eligibility program solutions/optionsObtain and review referrals daily to determine appropriateness for potential interview and eligibility, begin application process when possibleInterview patients; conduct analysis of potential reimbursement, and determine eligibilityIntroduce services, sets expectations for process and communication to ensure patient understandingPartner with patients to ensure patient understanding of process and assist with any questions during the application processObtain and manage all needed forms from patients, and follow up throughout processIdentify any additional patient needs and direct them to appropriate agencies for assistanceLeverage technology and account processing workflows; maintains data integrity with accurate and concise documentation in systemsServe as intermediary for client, account reps and managers, while interacting with team members and hospital staff in a productive, cooperative mannerProvide strong client service and collaboration with the teamUnderstand and agree to role-specific information security access and responsibilitiesEnsure safety and confidentiality of data and systems by adhering to the organizations information security policiesRead, understand and agree to security policies and complete all annual security and compliance trainingRole Requirements:2+ years customer service experienceMust be fluent in Spanish (speak, read, write)Must be able to work onsite at hospital facilityMust be able to work: (schedule)Outstanding communication skills and desire to provide excellent customer serviceA strong concept of patient advocacy and the desire to help someone every dayA strong work ethic, ability to work independently while making a differenceStrong computer skills and the ability to multitask while working in a fast-paced environmentA positive outlook and eagerness to learnConsistent punctuality and attendanceHealthcare experience, patient contact experience a strong plusCentauri 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.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.We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities.

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