Medicaid Representative

University of Arkansas System•Little Rock, AR

About The Position

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): Health: Medical, Dental and Vision plans available for qualifying staff and family Holiday, Vacation and Sick Leave Education discount for staff and dependents (undergraduate only) Retirement: Up to 10% matched contribution from UAMS Basic Life Insurance up to $50,000 Career Training and Educational Opportunities Merchant Discounts Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University’s Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected]. Department: FIN | CORE HIM Medicaid Enrollment

Requirements

High School Diploma/GED.
Two years of experience in a healthcare revenue cycle setting preferably in a hospital/facility setting in patient billing, registration or relevant area.
Successful completion of DHS Medicaid Enrollment Clerical System training within one (1) year of hire date.
Ability to follow oral and written instructions and communicate with others effectively.
Strong computer/basic keyboard skills, telephone skills and general knowledge of office machines including printers.
Excellent customer relations skills.
Ability to follow oral and written instructions and communicate with others effectively.
Strong computer/basic keyboard skills.
Telephone skills.
General knowledge of office machines including printers and knowledge of Windows Operating System.
Knowledgeable of medical terminology and understanding of HIPAA confidentiality policies.
Understanding Medicaid/DHS – Comprehensive knowledge.
Comprehensive understanding of regulatory and compliance organizations/agencies.

Nice To Haves

Bachelor's Degree with an emphasis in health/business related field preferred or commensurate work experience.
Associate’s Degree or two years of college.
Two years of Medicaid enrollment experience in insurance related to healthcare.
CHAA certification (Certified Healthcare Access Associate)

Responsibilities

Processes Medicaid cases in the most efficient and cost-effective method.
Evaluates existing programs and systems and continues to seek personal and professional growth.
Analyzes patients’ responsibility by understanding verification of assets, family size, liability, budget, etc.
Works Medicaid cases timely, including preparing budgets as directed by DHS policy.
Works assigned accounts and documents the outcome and status of the Medicaid application in Epic as needed.
Keys Medicaid cases into the DHS eligibility system.
Obtains knowledge of DHS/UAMS programs, policies, and procedures.
Documents and retrieves eligibility information from different data bases.
Reviews adult and newborn accounts in Epic that have pending applications and reviews DHS verifications.
Contacts patients as required to continue processing applications.
Assists patients and/or care providers, RNs, and social workers with self-pay patients.
Assist in adding adult and newborn AR DHS Medicaid applications into OnBase.
Acts as a resource for Medicaid Enrollment team.
Develops and maintains knowledge of Medicaid/UAMS policies and procedures, maintains current knowledge of all federal and state regulatory mandates and requirements including but not limited to Medicare, EMTALA, HIPAA, and Joint Commission.
Successfully completes annual competency tests and competency testing and training required to validate skills.
Interacts with and assists the public in a professional and friendly manner.
Performs other duties as assigned.
Interacts with and assists the public in a professional and friendly manner as needed. Demonstrates effective communication skills.
Communicates accurate and complete information.
Maintains strict confidentiality when necessary. Demonstrates positive working relationships with co-workers, management team, and ancillary departments.
Follows the Core Concepts of Patient and Family Centered Care and the Basic Code of Conduct Guidelines.
Assist internal and external stakeholders as needed with exceptional customer service.