Patient Service Representative - Outpatient Eligibility / Procedural Authorization
By Duke Health At , Durham, 27710

Duke University Health System - Patient Revenue Management Office (PRMO)

Are you looking for a rewarding career in healthcare? We are currently seeking an Outpatient Medicaid Eligibility Representative to join our team! As an Outpatient Medicaid Eligibility Representative, you will be responsible for verifying patient eligibility for Medicaid services, processing applications, and providing customer service to patients. If you have excellent communication and organizational skills, we want to hear from you!

Overview:

The Outpatient Medicaid Eligibility Representative is responsible for determining eligibility for Medicaid services for individuals and families. They must be knowledgeable of state and federal regulations, and must be able to accurately assess and document eligibility.

Detailed Job Description:

The Outpatient Medicaid Eligibility Representative is responsible for determining eligibility for Medicaid services for individuals and families. They must be knowledgeable of state and federal regulations, and must be able to accurately assess and document eligibility. They must be able to accurately interpret and apply Medicaid rules and regulations to determine eligibility. They must be able to accurately assess and document eligibility for services, and must be able to accurately interpret and apply Medicaid rules and regulations to determine eligibility. They must be able to communicate effectively with clients, providers, and other stakeholders. They must be able to accurately enter and maintain client information in the Medicaid system.

What is Outpatient Medicaid Eligibility Representative Job Skills Required?

• Knowledge of state and federal regulations related to Medicaid eligibility
• Ability to accurately assess and document eligibility for services
• Ability to accurately interpret and apply Medicaid rules and regulations
• Ability to communicate effectively with clients, providers, and other stakeholders
• Ability to accurately enter and maintain client information in the Medicaid system
• Knowledge of computer systems and software
• Ability to work independently and as part of a team

What is Outpatient Medicaid Eligibility Representative Job Qualifications?

• High school diploma or equivalent
• Previous experience in a customer service or healthcare setting
• Knowledge of Medicaid eligibility requirements
• Knowledge of computer systems and software
• Ability to work independently and as part of a team

What is Outpatient Medicaid Eligibility Representative Job Knowledge?

• Knowledge of state and federal regulations related to Medicaid eligibility
• Knowledge of Medicaid eligibility requirements
• Knowledge of computer systems and software

What is Outpatient Medicaid Eligibility Representative Job Experience?

• Previous experience in a customer service or healthcare setting

What is Outpatient Medicaid Eligibility Representative Job Responsibilities?

• Determine eligibility for Medicaid services for individuals and families
• Accurately assess and document eligibility for services
• Accurately interpret and apply Medicaid rules and regulations
• Communicate effectively with clients, providers, and other stakeholders
• Accurately enter and maintain client information in the Medicaid system
• Work independently and as part of a team