Overview:
Program advisor provides financial screening program registration services for new and returning Lone Star Circle of Care (LSCC) patients/clients. Program advisor educates clients on the program registration process and eligibility for any programs the client is found qualified such as LSCC Sliding Fee Discount Schedule, Medicaid, CHIP, MAP, WILCO and other state or federal programs.
Responsibilities:
Daily Job Duties:
• Provides accurate and timely program registration for new and returning LSCC patients.
• Receives scheduled and unscheduled calls through Patient Navigation Center for Program Registration
• Performs program registration thoroughly to ensure highly accurate program findings for Sliding Fee
• Scale assignment
• Allocates appropriate time to each call to ensure high degree of patient completion and kept appointments, while maintaining work flow.
• Makes outbound calls as appropriate to perform program registration, case follow-up or to schedule additional program registrations.
• Accurately identifies programs for which patient may be eligible
• Collaborates with front office staff member to ensure program registration policy and procedures are followed and to ensure clear and effective communication to maintain patient flow through the program registration process.
Documentation:
• Completes all program registration documentation in a timely, accurate and professional manner.
• Using Medicaider, NextGen, available insurance verification programs and other automated tools, maintains all patient documentation necessary to complete assignments and certify clients/patients in the appropriate programs
• Completes case documentation electronically and maintains no paper files on cases
• Maintains appropriate electronic flags for timely follow-up with patients
• Ensures documentation is sufficient to ensure coordination of care and program follow-up
Qualifications:
REQUIRED EXPERIENCE, EDUCATION, AND LICENSE:
• High school diploma or GED
PREFERRED EXPERIENCE, EDUCATION, AND LICENSE:
• Associates degree
• Minimum of 1 year experience in program eligibility or related health and human-services work preferred
• Proficiency with MS Office Suite (Word, Excel, and Outlook)
• Bilingual English/Spanish language skills
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