PHC Eligibility Technician

  • MISSOULA COUNTY, MONTANA
  • Missoula, Montana
  • May 07, 2024
Full Time Clerical and Administrative Support
  • Salary: $19.16 Hourly USD

Job Description

Definition

Priority Application Date: May 21, 2024 by 5:00 PM (Mountain Time)

Complete applications with required attachments received by the 'Priority Application Date' will be guaranteed consideration. The position will remain open until filled.


TO APPLY :
  • Please complete all sections of the online application , even if a resume is submitted. A resume will not substitute for completing the work history section of the application.
  • Please include with your completed application the following attachments: Cover Letter and Resume. Address in your Cover Letter why you are interested in working at Partnership Health Center.
  • Incomplete applications and applications without required attachments will be disqualified.
  • Complete job description available upon request to the Department of Human Resources.

Located halfway between Yellowstone and Glacier National Parks and home to the University of Montana, Missoula is an academic center situated in an outdoor enthusiast’s paradise. Depending on the season, you can hike, ski, fish, float rivers, ride mountain bikes, or just sit back and marvel at the surrounding scenery. Join us in scenic, sophisticated, and service-oriented Missoula!

Partnership Health Center (PHC), 2019 and 2022 winner of the Employer of Choice Award for Missoula, and 2022 winner of the Montana Employer of Choice Award, offers impeccable, integrated services to over 17,000 individuals and families. A 14-site, co-applicant Federally Qualified Health Center with Missoula County, PHC fulfills its mission through the provision of a full range of primary care services - medical, dental, behavioral health, and an on-site pharmacy with a dedication to attending to the social determinants of health. Please visit our website to see the amazing benefits you will receive by joining our team such as medical (no cost for employee), dental, and vision insurance, loan forgiveness, retirement plan contributions, and generous paid sick and vacation time.

Provides enrollment assistance on health insurance marketplace insurance plans; assesses patient income information and determines eligibility for discounted fees for services from Partnership Health Center or outside agencies.

Representative Examples of Work

EXAMPLES OF DUTIES : (The following are intended to illustrate typical duties; they are not meant to be all inclusive or restrictive.)

ESSENTIAL DUTIES : Responds to requests for assistance regarding the insurance application and enrollment process; meets with patients to provide information about the health insurance marketplace and enroll them in insurance programs.

Performs audits to reconcile differences between sliding fee scale and registration form data entry. Maintains documentation and follows up with patients and staff to ensure completion of application process.

Identifies, schedules meetings, and interviews patients in need of financial assistance.

Informs patients about the sliding fee scale and eligibility requirements. Obtains proof of income documentation, determines eligibility, and places patient on the sliding fee scale.

Assists patients to identify various community resources and to complete respective application forms.

Works closely with various PHC ancillary programs and outside agencies to facilitate financial assistance for patients.

Assists in the development and revision of income verification policies. Communicates this information with staff and keeps records of the policies.

OTHER DUTIES : Performs related work as required or directed.
SUPERVISION RECEIVED : Works under the supervision of Patient Services Manager.

SUPERVISION EXERCISED : None

WORKING RELATIONSHIPS : Has numerous contacts with the general public and persons from other PHC departments on routine matters for the purpose of giving and obtaining information. Has regular contact with PHC Finance Office staff for guidance and recommendations on data entry and payor information, and to coordinate efforts. Regular contact with other members of the provider care team.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

KNOWLEDGE : Working knowledge of business English, spelling, punctuation and math. Working knowledge of the principles and practices of Medicare/Medicaid billing. Working knowledge of the principles and practices of HIPAA compliance. Working knowledge of the PHC Corporate Compliance Guidelines. Working knowledge of PHC’s sliding fee scale eligibility requirements and process. Working knowledge of eligibility factors for Medicare and Medicaid. Basic knowledge of the rules and regulations of the Affordable Care Act.

SKILLS : Skill in the use of modern office machines and multi-line phone systems. Skill in the use of data entry equipment as demonstrated by basic keyboarding speed (35 WPM).

ABILITIES : Ability to learn assigned tasks and procedures. Ability to perform detailed work in a precise and accurate manner, manage multiple tasks and priorities, work independently and work in a stressful and hectic environment. to use initiative and good judgment and sufficient maturity to handle the confidential aspects of the work. Ability to communicate effectively in the English language, orally and in writing. Ability to establish and maintain effective working relationships with diverse individuals and groups. Ability to always put patients at the center of PHC’s service model and carry out supportive customer service in all duties. Ability to work as a part of a team, proactively seeking out ways to help patients and co-workers alike.

Minimum Qualifications

An equivalent combination of education and experience may be considered.

EDUCATION : Requires high school graduation or GED.

EXPERIENCE : Requires one year of customer service experience. Requires one year data entry, accounting, or finance experience.

SPECIAL REQUIREMENTS : Requires Certified Application Counselor (CAC) license or ability to complete within 6 months of hire. Requires immunizations or proof of immunity to certain infectious diseases and a TB test. New employees will be asked to volunteer vaccination status for required vaccines upon hire and will be offered assistance during hiring to receive necessary immunizations. Employees who have not received the vaccines required for their positions or who are unwilling to voluntarily provide vaccination status for required vaccines will receive a reasonable accommodation where such accommodation does not require an undue hardship or endanger the health or safely of any person.

Physical/Environmental Demands

The work requires frequent standing; sitting for lengthy periods of time; occasional light lifting and carrying of files or supplies (up to 20 lbs.). Work may include early morning or evening hours. The employee may risk exposure to communicable diseases. This position is not eligible for remote work.

This summary outlines the benefit programs; actual benefits may vary depending on bargaining unit and employment status.

Missoula County will reward your contributions to our community with competitive compensation and generous benefits, including but not limited to:

Excellent Medical Health Benefits– Group health benefits, including dental and vision coverage, are available to eligible County employees. The medical health benefits premium is covered for full-time employees. The County contribution is pro-rated on hours paid for part-time employees. The employee pays the premium portion for dependent coverage. Family health benefits coverage is $258.00 per pay period.

Medical deductible is $500 for an individual and $1,000 for a family.

Flexible Benefits Plan– Pre-tax out-of-pocket medical expenses and day care expenses.

Voluntary Life Insurance Coverage, Long and Short-Term Disability, Critical and Accident Insuranceare offered through Mutual ofOmaha.

Public Employees Retirement System– Montana public employees of the state, university system, local governments and certain employees of school districts are covered by the Public Employees Retirement System (PERS). New members to the PERS have an opportunity to choose between two retirement plan options: the Defined Benefit Plan or the Defined Contribution Plan.

Sheriffs' Retirement System (SRS)– A public pension plan for all Montana Sheriffs hired after July 1, 1974 and Detention Officers hired after July 1, 2005.

Public Service Loan Forgiveness- Working for Missoula County may qualify you to receive student loan forgiveness. Look here to learn more and understand whether you may be eligible.

Supplemental Retirement Benefitsare offered through Valic or Nationwide.

Sick Leave– Full-time employees accrue 7.38hours per month and are eligible to use sick leave once you have been an employee for 90 days.The accrual is pro-rated for part-time employees.

Vacation Leave– Full-time employees accrue 9.24 hours per month and are eligible to use leave after continuous employment for a period of 6 full months. The accrual is pro-rated for part-time employees.

Holidays– The County observes eleven legal holidays in even numbered years and ten legal holidays in odd numbered years.

Paid Parental Leave (PPL)-In recognition of the importance of bonding and care of a newborn child or a child placed for adoption, Missoula County 6 continuous weeks of PPL to eligible full-time employees that have been with the county for 180 days. The hours are pro-rated for part-time employees.

Tuition Assistance- Because we value the professional and personal development of our employees, Missoula County is proud to offer reimbursement of certain education expenses.

Closing Date/Time: Continuous

Job Address

Missoula, Montana United States View Map