Chase Brexton Health Care · 3 days ago
Financial Eligibility Specialist
Columbia, MD
Full-time
Onsite
Mid Level
$20/hr - $23/hr
3+ years expChase Brexton Health Care is a healthcare provider focused on patient services, and they are seeking a Financial Eligibility Specialist. This role involves determining applicant eligibility for reimbursements, processing data for patient admissions, and ensuring proper coding for insurance billing.
Health CareMental Health
Responsibilities
Conducts fee scale and insurance eligibility for clients following procedures and guidelines specific to each program
Calculate and implement the Ryan White Cap
Review relevant reports and follow up to link patients to eligible insurance and/or assistance programs
Ensure that the client’s fee scale is appropriately applied to any other payer source such as Medicare, Medicaid, MADAP, and any other third-party insurance
Refer clients to medical case manager should someone be entitled to additional assistance
Working knowledge of all Maryland insurance programs and eligibility guidelines
Working knowledge of all Chase Brexton policies and procedures
Compliance with all expected quality and productivity standards as set by the site Director of Operations, quality team, or their designee
Register clients into CPS and ability to complete Case Management visit note explaining any referrals or plans
Complete all necessary paperwork
Maintains up-to-date and orderly eligibility files
Provide comprehensive monthly reporting of patient statistics and metrics
Responding to billing discussions or questions related to Sliding Fee charges
Conducts renewal eligibility as required by each program
Participation in workgroups and special projects, as assigned
Confirms eligibility appointments with clients
Sets initial service appointments once eligibility has been determined
Provides clients with list of required eligibility documentation
Refer patients to new Chase Brexton services based on patient treatment needs
Working knowledge of all service areas offered by Chase Brexton
Qualification
Required
Ability to understand and practice bookkeeping and accounting terminology
Ability to operate computers and other office machines
Must become a Certified Application Counselor and complete enrollments through the Maryland Health Benefits Exchange within three (3) months of hire
Certified Application Counselor designation within three (3) months of hire
At least three (3) years of experience with insurance verification and/or sliding fee scale determination
Preferred
Bilingual
Training or background in ICD-A / CPT codes
Knowledge of insurance and billing practices
Company
Chase Brexton Health Care
When you think about health care what comes to mind? Medical exams? Health insurance? Shots? At Chase Brexton Health Care, we think about ‘care.’ When patients come to Chase Brexton for their health care, they receive more than medical attention.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Becky Frank
Chief Marketing & Development Officer
Deborah Gallagher
Board Liaison & Senior Executive Assistant to CEO
Recent News
Chase Brexton Health Care
2025-05-04
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