Medicaid Eligibility Specialist, Cleveland Clinic Medina Hospital Job at Centauri Health Solutions, Medina, OH

NUVJdG15SWJSVnBVeFV5RVRXbnNFTmw1Z3c9PQ==
  • Centauri Health Solutions
  • Medina, OH

Job Description

Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems; appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit

Role Summary:
The Patient Eligibility Specialist/Patient Service Representative works onsite with our hospital client staff, patients and other team members while interviewing patients to determine program eligibility. Eligibility Specialists conduct analysis of patients' potential reimbursement and partner with patients to ensure complete understanding of the benefits application process. The Eligibility Specialists partner with team members and clients to ensure that patient's and client’s needs are met.
Schedule will be Monday - Friday, 9:00 am - 5:30 pm; some travel between other Cleveland Clinic locations may be required.*
Primary Location:
Cleveland Clinic - Medina Hospital
1000 E Washington St, Medina, OH 44256
Learn more about this position by watching a short interview with a current Centauri associate:
Role Responsibilities:
• Meet with under-insured or uninsured patients to explore & identify all possible eligibility program solutions/options
• Obtain and review referrals daily to determine appropriateness for potential interview and eligibility, begin application process when possible
• Interview patients; conduct analysis of potential reimbursement, and determine eligibility
• Introduce services, sets expectations for process and communication to ensure patient understanding
• Partner with patients to ensure patient understanding of process and assist with any questions during the application process
• Obtain and manage all needed forms from patients, and follow up throughout process
• Identify any additional patient needs and direct them to appropriate agencies for assistance
• Leverage technology and account processing workflows; maintains data integrity with accurate and concise documentation in systems
• Serve as intermediary for client, account reps and managers, while interacting with team members and hospital staff in a productive, cooperative manner
• Provide strong client service and collaboration with the team
• Understand and agree to role-specific information security access and responsibilities
• Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
• Read, understand and agree to security policies and complete all annual security and compliance training

Role Requirements:
• 2+ years customer service experience
• Must have reliable transportation
• Fluency in Spanish and English Preferred (speak, read, write)
• Must be able to work onsite at hospital facility
• Must be able to work schedule required
• Outstanding communication skills and desire to provide excellent customer service
• A strong concept of patient advocacy and the desire to help someone every day
• A strong work ethic, ability to work independently while making a difference
• Strong computer skills and the ability to multitask while working in a fast-paced environment
• A positive outlook and eagerness to learn
• Consistent punctuality and attendance
• Healthcare experience, patient contact experience a strong plus
#indeed3

We believe strongly in providing employees a rewarding work environment in which to grow, excel and achieve personal as well as professional goals. We offer our employees competitive compensation and a comprehensive benefits package that includes generous paid time off, a matching 401(k) program, tuition reimbursement, annual salary reviews, a comprehensive health plan, the opportunity to participate in volunteer activities on company time, and development opportunities. This position is bonus eligible in accordance with the terms of the Company’s plan.

Centauri currently maintains a policy that requires several in-person and hybrid office workers to be fully vaccinated. New employees in the mentioned categories may require proof of vaccination by their start date. The Company is an equal opportunity employer and will provide reasonable accommodation to those unable to be vaccinated where it is not an undue hardship to the company to do so as provided under federal, state, and local law.

Factors which may affect starting pay within this range may include geography/market, skills, education, experience and other qualifications of the successful candidate.

This position is bonus eligible in accordance with the terms of the Company’s plan.

Job Tags

Local area, Monday to Friday,

Similar Jobs

Annapurna Labs (U.S.) Inc.

Sr. Circuit Design & Analysis Engineer, Annapurna Labs, Cloud Scale Machine Learning Job at Annapurna Labs (U.S.) Inc.

Job Description AWS Utility Computing (UC) provides product innovations from foundational services such as Amazons Simple Storage Service (S3) and Amazon Elastic Compute Cloud (EC2), to consistently released new product innovations that continue to set AWSs services...

Schwartz Manente PLLC

Real Estate Attorney Job at Schwartz Manente PLLC

 ...a Texas-based law firm that has been exclusively serving the mortgage industry since 1989. Our firm concentrates its practice on the...  ...nation. Additional services include attorney review and mortgage compliance services. Through our document preparation platform,... 

TOV Furniture

Senior UX Designer Job at TOV Furniture

*This job is onsite in Miami, FL 33138* Job Description : Join the vibrant TOV team as a Senior UX Designer! This position will be responsible for creating engaging, intuitive, and functional designs for our online furniture platform. As a Senior UX Designer, you will... 

Phoenix Investors

Assistant Legal Counsel Job at Phoenix Investors

Phoenix Investors is seeking a full-time in-house Legal Counsel Associate who is passionate about the interrelated businesses of commercial and industrial real estate. The ideal candidate will have experience practicing commercial real estate law, representing developers...

RED Global

SAP TM Consultant Remote Job at RED Global

 ...RED is currently seeking an SAP TM resource for an initial 3-month remote contract (extension possible) with one of our global clients. Role will be Remote, with candidates being asked to go onsite twice per month. Suitable Candidates will have the below skills:...