Company: Alameda Health System
Posted on: January 16, 2022
SUMMARY: Under general supervision, the Eligibility Clerk (EC)
provides a specialized clerical support service to the various
hospital and clinic registration units and screen patients for
possible eligibility into various financial programs. Specially
trained to perform the patient registration and less complex
enrollment of eligible patients into various financial assistance
programs. The Eligibility Clerks may be required to work in a 24/7
unit and may be required to work in alternate locations as
necessary. Program enrollment responsibilities include but are not
necessarily limited to the following: County Medically Indigent
Services Program (CMSP), Childhood Health and Disability Program
(CHDP), Charity (AHS's Charity Program), Presumptive Eligibility
(PE), and Cancer Detection Program (CDP). Performs related duties
DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: Following are the duties
performed by employees in this classification. However, employees
may perform other related duties at an equivalent level. Not all
duties listed are necessarily performed by each individual in the
1. Advises patient/guarantor of financial obligations and collects
and processes deposits, co-payments and pre-payments for
2. Assists with special projects and performs related clerical and
administrative duties as required such as filing, reception, or
3. Completes, submits forms and documents within the specified
timelines required by the respective agencies.
4. Determines the less complex enrollment options for eligible
patients into various financial assistance programs.
5. Informs and advises medical providers of patients' financial
status and maintains open communication with Physicians and
clinical staff to ensure timely notification of any health
conditions or diagnosis that could qualify patient for programs to
assist them with their healthcare costs.
6. Interprets laws and regulations of Federal, State and County
programs and advises patient of eligibility requirements, as well
as their rights and obligations in receiving financial services
from these programs. Assists patients in completing applications
and forms, as necessary, and reviews same for accuracy and
7. Keeps abreast of internal and external programs offered,
including those offered through mandatory departmental trainings
8. Registers and interviews patients and their representatives;
includes obtaining necessary identification, accurately filling out
applications with demographic and financial information.
9. Reviews and follows all relevant policies, procedures,
guidelines and laws.
10. Utilizes computer applications and on-line programs to
Education: High School diploma or equivalent.
Minimum Experience: Bilingual, where necessary.
Minimum Experience:Demonstrated use of PC systems and general
navigation through application systems.
Minimum Experience: One-year as working at AHS as Clerk II,
Specialist Clerk, Medical Clerk, Lead Clerk, or other equal
classification; one-year performing eligibility work in a medical
or clinical environment preferred. (After hire: Successful
completion of the Eligibility Academy/Training Programs and
respective examination offered through AHS within timeframe
determined by supervisor/designee.)
HGH Patient Access
Services As Needed / Per Diem
Admin, Business & Clinical Support
Keywords: Alameda Health System, San Francisco , Eligibility Clerk, Other , Emeryville, California
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