Medicaid & Financial Assistance Specialist

Primary City/State:

Deer Valley - 2500 W Utopia Rd Phoenix, AZ 85027

Category:

Billing and Revenue Cycle

Shift:

Day

Department:

Revenue Cycle Administration



Monday - Friday days, varied hours per department needs




Great care starts with great people. (Like you.)

At HonorHealth, you’ll find something special. From humble beginnings in 1927 to one of Arizona’s largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most — caring for the health and well-being of people and communities across the greater Phoenix area.

Responsibilities:




JOB SUMMARY

Performs patient financial-assistance outreach, screening support, and case processing to help potentially eligible patients complete Medicaid and organizational financial-assistance requirements. Obtains and validates household size, dependent, income, asset, expense, tax, bank, volunteer-hour, and other supporting documentation; documents case activity; and coordinates Qventus, Epic, HEAplus, Access Services, and approved partners to move cases through review or documented closure. Assists customers with completing and submitting Medicaid applications through HEAplus while adhering to established procedures, access requirements, training, customer authorization, and defined role boundaries.

ESSENTIAL FUNCTIONS

• Performs timely outreach to patients identified through approved eligibility indicators, Epic work queues, Qventus workflows, facility referrals, or other authorized sources.
• Explains documentation requirements and guides patients through approved Medicaid and organizational financial-assistance application and renewal steps, including use of approved language-assistance resources when needed.
• Obtains, reviews, and validates household size, dependent, income, asset, expense, tax, bank, federal-poverty-level, volunteer-hour, and supporting documentation required by approved procedures and application materials.
• Creates, updates, uploads, imports, securely stores, sequences, and documents required information in Qventus, Epic, HEAplus, the access AHCCCS portal, and other approved systems; assists with and submits applications only when organizational approval, authorized user access, required training, and written customer permission are in place.
• Coordinates case handoffs, monitors requests for information, and follows outstanding items across Qventus, Epic, Access Services, Pre-Services, AHCCCS, and approved vendors through determination or documented closure.
• Protects confidential patient and financial information and escalates incomplete, inconsistent, or out-of-scope cases through defined channels.
• Meets established quality, timeliness, productivity, outreach, documentation, conversion-reporting, and service standards; prepares assigned case-level reports and contributes workflow feedback and training needs.
• Travels between assigned work sites as required.

EDUCATION

• Associates in a related field, or an equivalent combination of education and directly related experience. Preferred

EXPERIENCE

• 1 year, Directly related experience in patient financial assistance, Medicaid eligibility, patient access, revenue cycle, social services, or financial-document verification. Required
• Other, Working knowledge of financial-assistance documentation, income and household verification, federal-poverty-level concepts, Medicaid application and renewal processes, and applicable AHCCCS requirements. Required
• Other, Ability to produce accurate written documentation and explain sensitive financial requirements clearly and respectfully. Preferred
• Other, Ability to learn and accurately use Qventus, Epic, HEAplus AH -portal workflows, and other approved systems. Preferred

LICENSE AND CERTIFICATIONS

• HEA+ Certified within 60 days of hire (Must be able to pass background check during this process) 60 Days Required




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