Medicaid Eligibility Advocate, Inpatient Business Office

Job Description

Medicaid Eligibility Advocate, First Shift, Inpatient Business Office

UC Health is hiring a full-time Medicaid Eligibility Advocate for the Inpatient Business Office for the first shift at University of Cincinnati Medical Center.

The Medicaid Eligibility Advocate will support the Medical Centers emergency room (ER) and Level III Trauma Center, delivering high-quality care to patients based on assessed needs, established standards of care and according to policy and procedures.

About University of Cincinnati Medical Center

As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati.

UC Medical Center is also home to medical breakthroughs- our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. UC Medical Center houses Greater Cincinnati's only Level I adult trauma center, which includes the right mix of specialist and medical resources available at a moment's notice for a wide variety of the most complex medical conditions and injuries.

Responsibilities

Job Responsibilities:
  • Conducts financial screening of uninsured patients at bedside or with other responsible party to gather pertinent information to determine potential Medicaid or other program eligibility.
  • Uses experience and detailed knowledge of all Local, State and Federal program requirements to determine which program(s) best coincide with the needs of the patient.
  • Assesses the need for and obtains all pertinent information relevant to the selected program(s).
  • Serves as patient advocate by assisting patients with matters pertaining to Medicaid, Social Security and Hospital Financial Assistance eligibility.
  • Represents patients for all applicable programs. Obtains signed patient consents enabling hospital staff to serve as authorized representatives on behalf of the patient for all County, State and Federal programs.
  • Interacts with County Case Workers, addresses issues, answers question and assists with all aspects of the application process including, but not limited to, appropriate liquidation of assets and resources. Cases are followed from initiation to completion.
  • Completes County Department of Job and Family Services applications along with Social Security applications.
  • Delivers forms and medical information via electronic communication to Social Security office for Social Security Disability and Supplemental Security Income applications.
  • Obtains copies of pertinent medical evidence to send to Disability Determination Services.


Qualifications

Education and Experience Requirements:

HS Diploma/GED required
• Bachelor's Degree preferred
• HFMA certification preferred
• Preferred: Bilingual associates will need a Certificate of Qualified Medical Interpreter.
• Minimum Required: 3-4 years of experience as a Social Services Income Maintenance Case Worker or previous experience in a hospital-based Medicaid Referral/Eligibility Program or relevant experience in the healthcare revenue cycle and/or Epic Revenue Cycle applications.
• Working knowledge of Federal, State, and Local Medicaid laws and regulations.
• General knowledge of Social Security Disability and Supplemental Security Income Disability requirements.
• Must be able to work in a high stress environment, dealing with customers' emotional and medical situations.
• Ability to work in situations indigenous to a hospital environment.

Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today!

About UC Health

UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, Daniel Drake Center for Post-Acute Care, Bridgeway Pointe Assisted Living, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com.