Specialist - Medicaid & Financial Assistance

HonorHealth • Phoenix, AZ

1d • Onsite

About The Position

The Specialist - Medicaid & Financial Assistance performs patient financial-assistance outreach, screening support, and case processing to help potentially eligible patients complete Medicaid and organizational financial-assistance requirements. The role obtains and validates household, dependent, income, asset, expense, tax, bank, volunteer-hour, and other supporting documentation; documents case activity; and coordinates Qventus, Epic, HEAplus, Access Services, and approved partners to advance cases through review or documented closure. The specialist assists customers with completing and submitting Medicaid applications through HEAplus while following established procedures, access requirements, training, customer authorization, and defined role boundaries.

The position is based at Deer Valley, 2500 W Utopia Rd, Phoenix, Arizona, and may require travel between assigned work sites. The schedule is Monday through Friday, with varied hours based on department needs.

Requirements

• At least 1 year of directly related experience in patient financial assistance, Medicaid eligibility, patient access, revenue cycle, social services, or financial-document verification.
• Working knowledge of financial-assistance documentation, income and household verification, federal-poverty-level concepts, Medicaid application and renewal processes, and applicable AHCCCS requirements.
• HEA+ certification within 60 days of hire; must be able to pass a background check during this process.

Nice To Haves

• Associate degree in a related field, or an equivalent combination of education and directly related experience (preferred).
• Ability to produce accurate written documentation and explain sensitive financial requirements clearly and respectfully (preferred).
• Ability to learn and accurately use Qventus, Epic, HEAplus AH-portal workflows, and other approved systems (preferred).

Responsibilities

• Perform timely outreach to patients identified through approved eligibility indicators, Epic work queues, Qventus workflows, facility referrals, or other authorized sources.
• Explain documentation requirements and guide patients through approved Medicaid and organizational financial-assistance application and renewal steps, using approved language-assistance resources when needed.
• Obtain, review, and validate household size, dependent, income, asset, expense, tax, bank, federal-poverty-level, volunteer-hour, and supporting documentation required by approved procedures and application materials.
• Create, update, upload, import, securely store, sequence, and document required information in Qventus, Epic, HEAplus, the access AHCCCS portal, and other approved systems.
• Assist with and submit applications only when organizational approval, authorized user access, required training, and written customer permission are in place.
• Coordinate case handoffs, monitor requests for information, and follow outstanding items across Qventus, Epic, Access Services, Pre-Services, AHCCCS, and approved vendors through determination or documented closure.
• Protect confidential patient and financial information and escalate incomplete, inconsistent, or out-of-scope cases through defined channels.
• Meet established quality, timeliness, productivity, outreach, documentation, conversion-reporting, and service standards; prepare assigned case-level reports and contribute workflow feedback and training needs.
• Travel between assigned work sites as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree