Overview
St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.
St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.
St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.
Personalized care together with advanced technology is what it means to be Community Strong
Responsibilities
To assist in the screening of self-pay patients to secure potential third party benefits and/or coverage. Represents and assist patients and/or families in applying for benefits under State, County and Hospital programs.
Review all self-pay admissions daily for financial coverage; investigate for third party coverage. Ensures patient demographic and insurance information is correct in the system. Visit inpatients designated as Self-Pay daily, screening for insurance coverage and possible Medicaid, QHP (Qualified Health Plan) and Health Solution applications as required following Department of Social Services, New York State and Hospital Policies. Complete and mail all Medicaid applications following the Department of Social Services guidelines. Enter documentation of application processed in Meditech custom defined fields. Follow up with the Department of Social Services on all patients with a pending Medicaid Application. Make phone call to patients as required based on documentation or phone call received from Department of Social Services in request for additional documents. Process all responses received from Department of Social Services and State Marketplace in Meditech. Complete all Health Solution applications according to Hospital Charity Care Policy. Maintain and process New Born List received from State. All accounts should be reviewed for proper insurance coverage and send LOI’s as necessary to Department of Social Services. Mother as well as new born Medicaid should be checked for eligibility. Compile a Pending application trial balance on a monthly bases in order to follow-up on open accounts. Completed Trial balance should be forwarded to Manager by the last Monday in each month for review. Perform clerical duties, as demanded by the position. Perform other duties as assigned.
Qualifications
Minimum High School Diploma or GED required; Minimum Associate Degree in Business Field (preferred); Excellent customer service skills; Strong communication skills; Knowledge of Word and Excel; Proven analytical skills and problem solving; Minimum of 1 year experience in processing Medicaid applications; Certified Application Counselor Certification required upon hire or must be obtained within 90-day probationary period for continued employment; Preferred experience in Hospital Business Office; Bilingual preferred – English and Spanish
