CASEWORKER MANG UNIT, BILINGUAL SPECIALTY CARE

JOB SUMMARY

AFSCME 1111

Interviews and assists patients with the medical assistance application process through the gathering of pertinent financial, demographic and other data to acquire medical assistance under Medicaid, Managed Care and charity care programs.

Reviews supporting documentation, explains hospital policies and procedures related to the process. Verifies data and accesses patients’ ability to pay for medical services.

Provides other assistance in registration, intake and medical assistance no grant (Mang) case management.

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.

Reporting Relationships

Reports to the System Manager Patient Access, Financial Counseling.

MINIMUM QUALIFICATIONS :

• Bachelor’s degree in business, Finance, Social Work or a Behavioral Science (Must provide official transcripts at the time of interview)
• Two (2) years of work experience in hospital finance / revenue Cycle operations
• Must be able to travel to work sites throughout the Cook County Health & Hospitals System
• Bilingual English / Spanish (Bilingual testing for Spanish will be administered, 80% minimum score 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 Hospitals System 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 CCHHS policies and procedures.

Knowledge, Skills, Abilities and Other Characteristics continued

• 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 CCHHS 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
• Strong initiative, productivity and problem solving skills

Physical and Environmental 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.

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 and Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable

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.

Degrees awarded outside of 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 & HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.