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Eligibility Resource Specialist - UH Lakewood (FT 7:00am - 3:30pm Hybrid Schedule)

101 Truman Medical Center

Job Location

UH Lakewood Medical Center

Kansas City, Missouri

Department

Financial Counseling Center UHLMC

Position Type

Full time

Work Schedule

7:00AM - 3:30PM

Hours Per Week

40

If you want to work where the action is, University Health (UH) is the place for you. Known as “Kansas City’s Essential Hospital,” UH is the safety net healthcare system for Jackson County/Kansas City. We are an academic medical center, serving as the primary teaching institution for the UMKC Schools of Medicine, Nursing, Dentistry, and Pharmacy. A 547-bed, not-for-profit health system, UH delivers the highest-quality medical care for our patients, with compassion, empathy, and unparalleled dedication to service. During the 2020 pandemic, we also stepped forward as a regional leader in COVID care and testing. UH is comprised of three campuses:

UH Truman Medical Center is located in the Health Sciences District of downtown Kansas City, Missouri. The Health Sciences District represents a robust academic community, leading the forefront of biomedical research and cutting edge technology. Partnered with UMKC and Children’s Mercy Hospital. University Health serves as the cornerstone in educating the next generation of healthcare practitioners. As a Level 1 Trauma Center, we’re a leader in Emergency Medicine and Critical Care, with world-class expertise in chronic disease management and women’s services, including high-risk maternity care. The Health Sciences District is also home to the University Health 1 and 2 buildings. UH 1 is UH’s beautiful specialty outpatient clinics and day-surgery center and UH 2 is the location for all of our primary care and women’s care clinics.

UH Lakewood Medical Center is located between Kansas City and Lee’s Summit, Missouri, offering residents of Eastern Jackson County access to a modern community hospital with a continuum of outpatient services designed to meet the needs of families. UH Lakewood specializes in high-risk maternal and child care, and serves as one of the few Kansas City metro area institutions accredited by The Joint Commission in Orthopedics and Palliative Care. It also is home to a 188-bed, fully accredited long-term care center.

UH Behavioral Health is the KC metro area’s largest, most comprehensive provider of mental health services. The Crossroads Building , located in Kansas City’s vibrant Crossroads Arts District, is its epicenter, providing a broad list of outpatient services. We also offer psychiatric inpatient care, and we deliver therapeutic services through our community outreach clinics. We are a leader in the Trauma-Informed Care Movement, and provide training, coaching and consulting to outside organizations.

Job Description

Primary role is to monitor the status of Medicaid applications completed by FCC staff and assist patients in providing needed verifications as well as verifying and loading insurance as patients become approved

Secondary role is serving as a front-line representative for the organization by interviewing patients and/or other sources to obtain demographic and financial data, linking patients to clinical and financial systems of the hospital. Communicates health benefit regulations and patient financial obligations to responsible parties. Communication and interviewing may occur in a variety of settings – fact to face, over the phone, bedside, within the ambulatory clinics or via online tools.

Responsibilities include: Performs and records billing, insurance and collection activities for hospital patient accounts. Monitors and reconciles accounts with appropriate adjustments. Makes referrals to appropriate financial resources. Has thorough knowledge of the organization’s Financial Assistance Program, Medicaid, Crime Victims Assistance and Social Security Disability programs to be able to assist patients in completing appropriate applications and to assist Resource Counselors. Provides advocacy to persons applying for medical assistance. Requires independent judgment and critical thinking skills related to completing applications to third party payers. Assists with training and mentoring of new staff. Works on reports as needed. Displays a team attitude and helps co-workers with the decision-making process.

When on the phone, serves as a first contact for patients and other internal/external customers seeking information about financial assistance. Asks key questions to correctly and rapidly assist patients in answering their questions about financial options.

Uses all patient interactions as an opportunity to be a problem solver for system. Makes informed decisions using multiple systems and tools to ascertain eligibility for assistance programs. Is proficient in these activities and systems such that work is performed independently

Required:

• High school diploma

• One year as RCII at the organization or another related organization

• Concise written and verbal communication skills

• Communication skills to interview patients and families, to gather and exchange information with other hospital staff members, physicians, and resource persons.

• Met minimum requirements for RCII.

• Advanced computer, keyboard, Outlook, Word, Power Point, Excel.

• Ability to work in a busy, loud and demanding environment.

• Must independently recognize and evaluate situations for the level of urgency

• Strong emotional intelligence and empathy

• Must be detail oriented and accurate

• Ability to multi-task and prioritize tasks

Preferred:

• Prefer previous experience as FSD Worker.

• Experience in hospital admission and/or patient accounting desirable.

• Knowledge of basic medical terminology helpful.

• Computer skills preferred include Basic Outlook, Word and Excel

Working at University Health is about making a difference. It's providing the best care to every patient every day.

University Health (UH), is committed to being a leader in providing a culturally inclusive workplace for our employees. UH is an equal opportunity employer. We value and celebrate our differences. We are committed to equal employment opportunity regardless, but not limited to race, ethnicity, religion, beliefs, sex (including pregnancy, gender identity and expression, sexual orientation), national origin, ancestry, language, age, citizenship, genetic information, marital status, socioeconomic status, literacy, disability, mobility, abilities, veteran status and any other category protected by applicable law.