Patient Service Assistant – Eligibility Lead

Employment Opportunity
Position: Patient Service Assistant - Eligibility Lead
Salary: Starts at $18.00/hr
Work Area: Clinic
Hours: Full Time
1350 Concourse Ave
Memphis, Tennessee 38104

Patient Service Assistant – Eligibility Lead

Job Description & Responsibilities

The overall purpose of this position is to facilitate eligibility verification and documentation for patients at Church Health. This includes eligibility for health insurance, as well as verification of existing health insurance. It also includes confirming eligibility requirements to be a patient at Church Health. This position will also serve as needed in the phone or front desk PSA role to provide patient services for patients who come to the Church Health Clinic for health care.

  • Verify new patients meet Church Health eligibility requirements and documents are current and accurately stored in the EMR (Electronic Medical Record). As needed, facilitate annual eligibility re-verification and updating documentation. Eligibility verification includes, but may not be limited to:
    • Health Insurance Eligibility – Screen patients for eligibility to receive affordable health insurance such as Medicaid, Medicare, or Marketplace plans. Refer patients to HAT (Health Advisory Team) for assistance enrolling into insurance.
    • Residency requirements, working requirements, Income documentation – Verify patients meet requirements. Document approves exceptions and confirm annually if exceptions are still in place.
  • Serve as a primary contact for CH staff who need help problem-solving patient eligibility requirements or documentation to facilitate treatment pathways.
  • Coordinate verification of active health insurance coverage for scheduled patients.
  • Work with additional PSA colleagues to ensure accurate insurance verification processes within phone and desk staff workflows.
  • Serve as primary contact for billing staff to problem-solve insurance verification issues.
  • This position is responsible for tracking special situations that allow patients to remain established at Church Health and be exempt from standard eligibility requirements.
  • These include special relationship with other organizations like St. Jude and other social service agencies, as well as requested exceptions from CH staff.
  • This position is responsible for confirming annually if the special situations are still present and communicating with CH staff, community organizations, and patients
  • Assist supervisor in problem-solving, training, upkeeping training manual, and conveying useful information to teams.
  • Responsible for taking on leadership role when supervisor is unavailable.
  • Responsible for identifying areas of improvement in teams and conveying to supervisors.
  • Responsible for exhibiting appropriate behaviors, attitudes, customer service and language.
  • Responsible for helping supervisor foster a welcoming cohesive high-functioning team atmosphere.
  • Answer and accurately route incoming calls from a multi-line phone system following established protocols.
  • Schedule patient appointments over the phone.
  • Provide reception at medical clinic desks.
  • Checking patients in, receiving and processing documents, and collecting payments.
  • Provide excellent customer service

Qualifications

  • High School Diploma or GED

Special Skills & Knowledge

  • Must be able to communicate effectively on the telephone, pay attention to details, have strong computer and data entry skills.
  • Knowledge of HIPAA regulations, medical care codes and industry standards.
  • Ability to deliver effective instruction and feedback, where appropriate, to PSA team members.

About Church Health

Church Health has served people since 1987 with our clinical services and outreach programs. Church Health seeks to reclaim the Church’s biblical commitment to care for our bodies and our spirits.

Commitment to Diversity

At Church Health, we are committed to diversity, striving to create a staff that reflects the diverse communities with which we work. We seek individuals of all backgrounds to join our team.

Compensation & Benefits

Compensation

Church Health offers competitive wages to attract and retain employees with great skills and ideas that align with our mission, and to reward achievement. Regular performance reviews are held between each employee and his or her direct manager to ensure that achievements are recognized, and that goals and expectations are being met.

Medical, Vision & Dental

Church Health offers employees working 20 or more hours per week group major medical, vision and dental coverage, effective the 1st of the month following 30 days of employment.

Medical and vision is currently offered through BlueCross BlueShield of TN. Dependent coverage is also available. The organization currently pays approximately 50% – 80% of premiums dependent upon coverage level and number of hours worked per week.

Affordable dental coverage is currently available through Delta Dental of TN, and spouse and dependent dental coverage is also available.

Flexible Spending Accounts & Health Savings Accounts

Church Health offers two flexible spending account options, allowing you to save and pay for you and your family’s eligible medical, dental, vision and childcare expenses.

For participants in the High Deductible Health Plan, Church Health offers an HSA. Church Health also offers a one-time lump sum and a per pay period match for those who enroll in an HSA!

Basic Life & AD&D Insurance

Church Health offers basic life and AD&D insurance at no cost to employees. This also covers a spouse and dependent children at no cost to the employee. Employees may purchase additional supplemental group term life and AD&D for themselves, their spouses, and dependent children.

Short-Term and Long-Term Disability

Church Health offers short term and long term disability coverage at no cost to employees after 90 days of employment. Short term coverage pays 70% of an employee’s eligible pay for up to 11 weeks. Long term coverage pays 60% of an employee’s eligible wages after short term has been exhausted. Employees must be on an approved leave of absence.

401k

Employees working 20 or more hours per week may participate in a 401(K) deferred compensation plan that is designed to provide income for all covered employees beyond the working years. Church Health will contribute a 3% safe harbor after one year of service and match up to an additional 1% if the employee participates.

Paid Vacation

Paid Time Off (PTO) is a benefit provided to full-time and regular part-time employees each year based on years of service and scheduled hours per week. PTO is accrued throughout the year and employees are eligible to use their accrued PTO after 90 days of employment. Employees working less than 20 hours per week are not eligible for PTO.

Church Health also observes 10 paid holidays per year.

Employee Assistance Program

All employees and members of their household have access to Church Health’s EAP provided by Lincoln Financial Group.  This service offers free and confidential assistance on topics ranging from stress management to substance abuse.

Professional Development

Church Health offers various opportunities for professional development, including Church Health University, our Quality Curriculum Course and external training and seminars such as Dale Carnegie Training.

Staff Health Program

All employees are eligible for Church Health’s Staff Health Program. Participants are rewarded in cash or PTO (if eligible for PTO) based on the number of points earned for making healthy decisions and participating in other events and activities.