Eligibility Advocate at Revecore

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Full Time

Start Date

Immediate

Expiry Date

06 Feb, 26

Salary

0.0

Posted On

08 Nov, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Advocacy, Customer Service, Case Management, Medicaid Knowledge, Hospital Billing Systems, Documentation Skills, MS Office Proficiency, Communication Skills, Time Management, Organizational Skills

Industry

Hospitals and Health Care

Description

Start your next chapter at Revecore! For over 25 years, Revecore has been at the forefront of specialized claims management, helping healthcare providers recover meaningful revenue to enhance quality patient care in their communities. We’re powered by people, driven by technology, and dedicated to our clients and employees. If you’re looking for a collaborative and diverse culture with a great work/life balance, look no further. Revecore Perks: * Our medical, dental, vision, and life insurance benefits are available from the first day of employment * We enjoy excellent work/life balance * Our Employee Resource Groups build community and foster a culture of belonging and inclusion * We match 401(k) contributions * We offer career growth opportunities * We celebrate 12 paid holidays and generous paid time off   Location: Thomasville, GA (Onsite 5 days/week) Schedule: Monday – Friday, 8:00 AM – 4:30 PM As an Eligibility Advocate, you will: * Follow established company protocols and procedures on case load management for active and approved. * Document actions taken on the account/application in a timely manner. * Effectively and accurately follow established work procedures and guidelines to be efficient in the Medicaid application processes. This includes application completion, collection of all documentation, and detailed case comments. * Maintain current caseload according to company protocol. * Attend any company and/or facility compliance training. * Comply with all company policies as well as state and federal regulations including, but not limited to attendance, performance, patient privacy, system security and safety. * Maintain knowledge of all State Medicaid and CHP+ policy information/guidelines/training. * Locate, understand, and interpret written information in a variety of formats including such documents such as manuals, reports, graphs, etc. * Use own vehicle to travel to various locations for reasons including, but not limited to, outside training, facility coverage, home visits, and agency visits. * Use reference material available on company resource sites, HCPF website, and other web-based sites effectively and regularly. * Effectively use computer systems to include but not limited to company database system, and hospital system. * Effectively document and demonstrate a performance standard of 85 consistently. * Assist with the entry of all referrals and account documentation. * Contact and screen patients for eligibility. Screenings are completed in the hospital, by phone, and occasionally in patient’s home. * Complete and copy all relevant applications. * Gather all required verification documents and submit them to appropriate agencies by the deadline for processing. * Follow up with agencies to ensure submitted applications are processed in a timely manner. * Assist in appealing denied applications. * Update all hospital and company systems with current activity and notes. * Submit verified billing numbers to facilities. * Provide hospital with all requested information in a timely manner. * Complete assigned invoicing functions including capturing claim bill dates, payment dates and payment amounts, from hospital system and assigning appropriate invoice fee types. * Comply with all state and federal regulations and company policies that include but not limited to patient privacy (HIPAA). * Perform various other duties, as assigned. * Comply with the company and code of conduct. * Additional duties and responsibilities as assigned. You will be successful if you have: * High school diploma or general education degree (GED) * One to three years of related experience such as advocacy and customer service and/or training; or equivalent combination of education and experience. * Case management experience and working knowledge of State and Federal programs such as Medicaid and Social Security Disability, is a plus. * Experience with hospital billing systems (Meditech, EPIC, Allscripts, MS4, etc.) desired. * Past advocacy experience or experience with helping others through enrollment processes is a positive. * Must be comfortable working directly with patients in an inpatient hospital room environment, especially behavioral health patients. * Ability to quickly and accurately capture heavy documentation requirements in both the company and hospital computer systems * MS Office proficiency * Strong typing and documentation skills * Exemplary customer service * Strong written and verbal communication skills * Strong time management and organizational skills Employment is contingent upon eligibility to work in the U.S., employment history verification, and a background check. Revecore is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status. We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.   We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.

Responsibilities

As an Eligibility Advocate, you will manage a caseload for Medicaid applications, ensuring timely documentation and compliance with regulations. You will also assist patients with eligibility screenings and gather necessary verification documents.