Medicaid Eligibility Specialist Full Time Day in Orange City, FL at Florida Hospital Fish Memorial

Date Posted: 7/20/2018

Job Snapshot

  • Job Schedule
  • Job Category
  • Date Posted:
  • Job ID:
  • Job Function
    Patient Financial Services
  • Travel
  • Shift
    1 - Day
  • AHS Zone
    1-Shared Services
  • Organization
    Florida Hospital Fish Memorial

Job Description


Work Hours/Shifts

Full Time, Days

Florida Hospital Fish Memorial

For a young hospital built in 1994, Florida Hospital Fish Memorial has a long history dating back to 1952. Beginning as a humble, 50 bed facility more than six decades ago, we’ve grown to become one of Volusia County’s most comprehensive and trusted healthcare resources. With Florida Hospital's tremendous resources and expertise, our community hospital has continued to thrive due to constantly improving advanced medical technologies and experienced clinical talent.

Through our dedication to excellence we have been recognized as Orlando Sentinel’s "Top 100 Companies for Working Families" for 9 consecutive years. We also received the Performance Achievement Award from the Medicare Quality Improvement Organization of Florida, as well as, the 24th Annual Commissioner’s Business Recognition Award from the Florida Educational Foundation and Florida Department of Education.

As a member of Adventist Health System, Florida Hospital Fish Memorial operates as a not-for-profit organization focused on improving the health of the community it serves. This is a direct reflection of our mission to extend the healing ministry of Christ with skill and compassion." Best of all, it’s just a short trip from some of Florida’s most exciting attractions—and minutes from the beaches in Daytona!


You will be responsible for: 

  • Verifies insurance coverage for all new patients.
  • Reviews coverage and explains specific patient responsibilities such as deductibles, copays, etc. to the patient.
  • Develops payment plans including self-pay contracts and time payment agreements, based on patient’s ability to pay, for patients referred from physicians and/or self-referrals.
  • On request, provides patients with an estimated quote of charges for services.
  • Resolves financial problems identified by the patient and addresses them in a timely manner.
  • Reviews daily census for all uninsured patients and/or those who have poor insurance coverage to determine intervention needed. 
  • Meets with all uninsured patients within 24 hours of admissions by completing a thorough financial assessment to ensure we have screened those patients for county, state and federal programs. 
  • Gathers required financial information by phone or by direct interview in a professional manner, demonstration regard for dignity of all patients and family members.
  • Maintains up-to-date knowledge regarding medical insurance’s coverage policies.
  • Maintains current knowledge on all federal, local and state programs in order to determine a payer source for uninsured patients.
  • Meets with patients and completes application for Social Security Administration disability applications, Medicare and Medicaid/Office of Disability of Determination.
  • Review discharge list and contacts any patients that have not completed making financial arrangements.
  • Discusses payment arrangements on prior accounts with patients via phone or walk in’s
  • Prepares charity applications for committee.
  • Responsible for other duties as assigned. 

What will you need?  

  • High school diploma or equivalent required 
  • Two years of experience relating to Medicaid Eligibility and enrollment
  • Five years Patient Access Experience and or two years Financial Education experience acceptable 
  • Technical knowledge is needed in the medical insurance billing field through at least 1 year experience.  Such knowledge may be obtained through some professional training or college education or by on-the-job training
  • Medical terminology and proficient computer skills required

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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