WHY WE NEED YOU
HCFS, Inc. is a Revenue Cycle Solution and Third-Party Eligibility Company hired by hospitals and hospital systems to maximize their business office processes and minimize the amount of bad debt incurred from self-pay patients. Our clients hire HCFS to be Subject Matter Experts to simplify and handle their out-of-state Medicaid and Workers’ Compensation account billing procedures timely and effectively, while correcting any claim denials to ensure maximum reimbursement.
MORE DETAILS ABOUT YOUR ROLE
• As our Patient Contact Center Specialist, you would conduct personal interviews with uninsured/under-insured patients to assist the patient in applying for federal, state and county payer programs. To do this, you must promote Trust and be Trustworthy when you obtain and verify the following:
Patient Demographic Information
Patient Financial Information
Patient Medical Information
• After obtaining this information, you must evaluate the patient information against the eligibility criteria of each payer program and determine with payer program(s) to pursue. Comprehensive Training is provided to make you the SME (Subject Matter Expert) on these payer program guidelines.
• As a patient advocate, you are expected to explain the payer program options the patient may be eligible to receive. Being Genuine with your intentions and actions, while ensuring you are educating patients on what information they need to provide and the regulations and application rules for each payer program, will significantly improve your success in this position!
• Instructing and assisting patients with eligibility processes/forms and submitting the documentation to program offices in a timely manner would be your responsibility. As a 'SME', you should also do the extra steps to assist with reading and explaining of various regulations, requirements, legal rights, and responsibilities to our patients. Promoting and Inspiring Unity is key.
You will be part of a larger, HCFS team! Establishing strong professional relationships with our hospital contacts, your HCFS team, and payer program contacts is imperative. Your individual success, as well as the profitability of the hospital and HCFS relies on your efforts to Provide a Collaborative environment.
We can make a difference in our communities with our solid business model. You should Expect Excellence each and every day!
THE “MUST HAVES” (aka the Minimum job requirements)