Medical Benefits Evaluator

Bilingual Medical Benefits Evaluator

Location: University of Texas Medical Branch at Galveston in Galveston, TX

Schedule: Monday-Friday 10:00 am-6:30 pm

BILINGUAL IN SPANISH AND ENGLISH REQUIRED

Brief Job Description:

The MBE makes the initial contact with the patient whose account has been referred from the hospital and obtains basic information to determine if potential eligibility to third party payment sources exists.

Essential Duties and Responsibilities include the following:

• Completes screening worksheet and asks basic questions to determine potential eligibility to Medicaid, Medicare, CHIPS, Crime Victims, or other eligibility benefits.
• May complete program specific applications and related forms.
• Completed applications, related forms, as well as screening sheets, for patients who appear to be eligible for government benefits, will be forwarded to the appropriate staff for further action.
• Printouts for non-declined referrals will be made and maintained locally.
• Regularly input case status comments to the approproate databases, according to company/hospital protocol.
• Make copies medical records as needed for patient files.
• Manage and prioritize workload and job assignments so that all deadlines are met on a timely basis.
• Respond quickly to requests for information and assistance (including returning phone calls promptly and being available to other staff), and using time according to clearly arranged and communicated priorities.
• Perform other related duties as assigned by the manager.

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Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Knowledge of Microsoft office products, fax machines, copy machines, and telephone systems.
• Must be able to set and prioritize daily and weekly schedules to complete work assignments in a timely manner.
• High school diploma and six months of clerical experience which included data entry preferred.

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