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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in guiding patients through Medicaid and Financial Assistance applications, ensuring accurate documentation and timely follow-up. Possesses strong communication skills to educate and support uninsured and under-insured populations effectively.
Highest-signal resume keywords
Medicaid Eligibility DeterminationPatient CommunicationApplication ProcessingRevenue Cycle KnowledgeCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Application CompletionMedical TerminologyBilling KnowledgeBenefit VerificationMath SkillsDocument SubmissionState Medicaid Plan QualificationsInsurance KnowledgePatient Access ExperienceFinancial Assistance Programs
Soft Skills
Compassionate CommunicationMultitasking AbilityProactive ExplanationConsumer-Focused ApproachCommitment to Excellence
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Healthcare IndustrySocial WorkCase ManagementSelf-Pay PopulationsUnderinsured PopulationsManaged CarePatient InsuranceMedical ExpensesFinancial ConcernsCustomer Service
About the role
Key responsibilities & impact- Provide virtual support to uninsured and under-insured patients to determine eligibility for Medicaid and Financial Assistance programs
- Guide patients through the application process by phone in a remote call center environment
- Build rapport through clear, compassionate, and professional communication
- Educate patients on eligibility options and coverage benefits
- Assist patients in completing applications accurately
- Ensure all required information is obtained
- Provide clear instructions on documentation needed to support submissions
- Follow up timely and maintain complete application processing
- Maintain accurate system documentation to support successful approvals
- Complete written applications with patients for submission to state agencies
- Ensure supporting documents are provided timely
Requirements
What you’ll need- High School Diploma or GED
- 1-2 years of experience in the healthcare industry, social work, or case management environment
- Experience interacting with patients regarding financial concerns
- Experience working with self-pay, underinsured, or compromised populations in a face-to-face customer service capacity
- Ability to proactively explain complicated programs
- Understanding of Revenue Cycle functions including billing, payments, denials, authorizations, and benefit verifications
- Knowledge of health insurance requirements
- Knowledge of medical terminology
- Patient access experience with managed care/insurance knowledge
- Ability to comprehend various state Medicaid plan qualifications and communicate patient benefits clearly and effectively
- Good math skills and ability to identify the best program for an applicant
- Ability to complete written applications with patients and ensure supporting documents are provided timely
- Strong face-to-face communication and customer service skills
- Experience working with customers or patients on document completion and applications
- Knowledge of medical expenses and associated bills
- Knowledge of patient insurance
- Ability to multitask
- Ability to learn complex state program requirements and explain them to patients
- Patient/consumer-focused approach
- Commitment to excellence and service
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Tuition support
- Matched retirement plans for team members working 32+ hours per pay period
- Caring, collaborative team environment
- Opportunities to shape the future of healthcare through innovation, technology, and compassion
