JOB SUMMARY:

Reports directly to the Clinic Administrator (CA) and is responsible for providing pleasant customer service while interviewing, screening and assisting patients with issues and concerns; such as but not limited to completing applications, determining their ability to pay, assessing insurance needs and enrolling them with the appropriate insurance/plan provider(s).

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Upholds and supports the mission, philosophy, objectives, policies and ethics of Community Health Systems, Inc. (CHSI).
• Responsible for participating in quality improvement projects/activities and accountable for quality and PCMH. 

• Provides health insurance benefit information and assists patients and families in applying for health insurance benefits.
• Conduct a confidential interview with patients and families to compile information on financial standings against current Federal Poverty Guidelines (FPG) for eligibility in applying for Sliding Fee Scale (SFS) program. 

• Registers patients by verifying that patient’s record is up to date and accurate. Makes appropriate changes in electronic medical record.
• Complies with federal and local laws in ensuring patient privacy. 7. Informs patients and families of services provided by CHSI.
• Collects payment from patients, applies payments and adjustments to patient account(s) and reconciles daily cash reports.
• Track and prepare reports for management concerning visits with patients.
• Serve as a liaison between patients, family services, and insurance companies.
• Follow-up with families to ensure they receive benefits and return to the clinics for healthcare needs.
• Will work closely with the Outreach Department.
• Perform all other duties as directed either formally or informally, verbally or in writing.

KNOWLEDGE, SKILLS AND ABILITIES:

•         Bilingual (English/Spanish) preferred.
• A high standard of professionalism and professional ethics and conduct is expected in speech, manner, attitude and appearance at all times.
• Possess strong interpersonal skills and ability to work well with others.
• Ability to deal effectively with changing situations and stressful environment.
• Knowledge of current insurance programs for low-income, underinsured individuals and families. · Ability to seek out other insurance programs that will serve the patients in the community.
• Ability to read and interpret documents such as tax forms, immigration paperwork, etc. · Possess basic mathematical skills (i.e. percentages and fractions).
• Strong computer skills, with proficiency in Microsoft Office.
• Possess strong customer service skills in both written and verbal communication, with the ability to interact and negotiate with co-workers, management, vendors and others as necessary.
• Ability to perform tasks related to physical activity to complete the responsibilities of the position. 

EXPERIENCE AND EDUCATION:

• High School Diploma or GED required
• Associate’s degree (A.A.) or equivalent from two-year college or technical school; OR 2+ years related experience and/or training; OR equivalent combination of education and experience.
• Certified Enrollment Counselor (CEC) required (within 90 days of hire dependent on training availability)