Schedule: Full-time
LOCATION: John H. Stroger, Jr. Hospital
DEPARTMENT: Patient Access
SHIFT: 8:00am-4:00pm
JOB SUMMARY UNION AFSCME 1276
The Case Worker Mang Unit assists patients Cook County Health (CCH) patient by providing comprehensive interviews and screenings to identify qualified programs to access patient ability to pay for medical services. The Caseworker Mang Unit assists patients with various application and authorization processes through the gathering and analysis of pertinent financial, demographic, and other data to acquire medical assistance under Medicaid, Medicare, Commercial Insurance, approved payment arrangement, or Financial Assistance.
TYPICAL DUTIES
Interviews patients and/or their representatives to obtain demographic and financial information to complete quality applications
Provides document forms and explains Illinois Department of Human Services (IDHS) policies and procedures
Verifies patient demographics during the screening process for the purpose of updating hospital data
Maintains patient logs required for daily statistical productivity reports Completes and routes patient case folders with pertinent information for billing and collection purposes
Completes and returns all assigned cases consistent with established productivity standards
Updates hospital information system with appropriate documents
Performs other duties as assigned
MINIMUM QUALIFICATIONS
High School Diploma with Four (4) years of work experience in a hospital finance/ review Cycleoperations OR Bachelor’s degree or higher in business, Finance, Social Work, or a Behavioral Science from an accredited college or university with Two (2) years of experience in hospital finance/ revenue Cycle operations is required. (Official Transcripts and /or high school diploma must be presented at time of interview)
Bilingual is required. (Bilingual testing for Spanish will be administered. Passing score of 3 – High Intermediate, is required)
KNOWLEDGE, SKILLS, ABILITIES AND OTHER CHARACTERISTICS
Knowledge of the Managed Care environment, third party reimbursement, hospital and community services and hospital and health care policies.
Knowledge of Medicaid eligibility requirements and Cook County Health and the Department of Human Services policies and procedures.
Ability to compile, organize, prepare, and maintain an assortment of records and information in an effective manner and according to CCH policies and procedures.
Strong customer service skills with the ability to work with a multi-culturally and economically diverse patient population.
Ability to organize tasks and establish priorities in response to changing conditions and in emergencies, sensitivity to the needs of a multi-cultural community.
Ability to establish and maintain effective working relationships and co-workers and clients in a stressful environment.
Strong written and oral communication skills necessary to explain CCH application processes to patients and their families.
Strong interviewing skills.
Attention to detail especially as it relates to obtaining pertinent financial, demographic, and other data necessary to complete medical assistance applications.
Ability to maintain confidential patient records.
Computer skills necessary to complete patient application process.
Ability to use judgment in routine and non-routine situations.
PHYSICAL AND ENVIORMENTAL DEMANDS
This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.
For purposes of the American with Disabilities Act, “Typical Duties” are essential job functions.
BENEFITS PACKAGE
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Pension Plan
Deferred Compensation Program
Paid Holidays, Vacation, and Sick Time
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
For further information on our excellent benefits package, please click on the following link:
VETERAN PREFERENCE
PLEASE READ
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.
To take advantage of this preference a Veteran must:
Meet the minimum qualifications for the position.
Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, “Are you a Military Veteran?”
Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list an Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable.
OR
A copy of a valid State ID Card or Driver’s License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER’S LICENSE AT TIME OF INTERVIEW
MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION
*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER