Bilingual (Creole) Health Care Representative

Would you like to work for a company that is a leader in its industry? How about a company that really does make a difference by helping people? Chamberlin Edmonds is always seeking bright, dedicated and friendly people with the skills and attitude to provide top-notch service to our clients.




Chamberlin Edmonds works as an augmentation to existing hospital staff to assist uninsured patients through the difficult processes of applying for medical assistance.  Chamberlin Edmonds relieves patients and hospital staff from the confusion and frustration of the application process. 


Chamberlin Edmonds’ professionals are trained to recognize the obscure cases that are frequently overlooked and may not appear to fall under most eligibility guidelines. Our unique expertise enables us to obtain short-term funding solutions and, wherever appropriate, to secure long-term Medicare conversions for patients. Our Health Care Representatives evaluate many factors other than financial criteria in their decision making process, such as the patient’s mental and physical limitations, gender, age, living conditions, work history and education. All of these factors have a bearing on revenue recovery success. We routinely make applications for the following programs:

 

· Supplemental Security Income

· Social Security Disability Insurance

· Medicare

· End Stage Renal Disease

· Medicaid (all programs)

· Crime Victims Compensation

· Chronically Ill and Disabled Children

· Charity Care

· County Indigent Health Care Programs

· Numerous other state, local and community benefit programs targeting indigent, underinsured or uninsured


As part of our strategic goal of becoming an Employer of Choice, we offer an outstanding benefits package that includes:

 

· Medical, Dental and Vision Insurance

· 401(k) with employer matching

· Flexible Spending Accounts (FSA) for Medical and Dependent care

· Paid Time off

· Short and Long-term disability insurance

· Additional Term Life Insurance

· Advancement Opportunities

· Long Term Care Insurance

· Company Training

· Competitive salaries

 

 

This exciting position is based in an Orlando hospital and the duties include:



· Screening patient referrals

· Reviewing patient hospital charts

· Interviewing patients on the phone after discharge and face-to-face while still in the hospital

· Completing applications, by hand and on computer, for state and federal programs

· Assisting and assessing the needs of the patient and hospital to ensure that referrals are resolved timely and appropriately

· Providing updates and assistance to hospital personnel and other staff as needed

· Maintaining documentation in both hospital computer and company database

 


REQUIREMENTS:



· Associates Degree 

· Knowledge of State Medicaid and/or SSA/SSI disability application processes and programs

· Able to read, write and speak both English and Creole fluently

· Ability to read and apply the information contained in medical records to appropriate program

· Previous case management experience 

· Ability to apply knowledge of state/federal programs to benefit coverage for the patient

· Well groomed and professional appearance to serve as model representative for our company 

· Understanding of and the ability to apply the medical definition of disability as it relates to body systems and functions of daily living

· Demonstrated experience working with people of various educational and socioeconomic backgrounds 

· Computer skills, including word processing and data entry, (MS Office, Excel, PowerPoint preferred)

· Demonstrated strong written and verbal communication skills

 

 

PREFERRED:



·  Bachelor’s Degree

·  Previous experience in Social Work, Nursing and/or Utilization Review

·  Previous Hospital business office experience in Financial Counseling or Admissions

·Previous experience working for Social Security Administration (SSA) and/or Department of Children and Families (DCF)