Job description

Elevate Patient Financial Solutions has an exciting career opportunity available as a Program Manager in their Medicaid Eligibility Department.
This position will be located in St. Louis, MO.
The Full Time schedule for this role will be Monday-Friday; 8am-5:30pm with flexibility as needed.
Job Summary:
The Program Manager (Medicaid Eligibility) oversees the daily operations of the Program. Ensure that the Medical Assistance Eligibility Process and all other Elevate PFS services are delivered in a professional and focused manner ensuring the best possible outcomes for our client and their self-pay population. The Program Manager reviews productivity for quality assurance and adherence to program policy in an effort to provide optimal service to our clients.
Job Scope:

• Ensure that assigned staff is fully trained and perform their job functions.
• Ensure that all weekly and monthly reports are completed timely for the District Manager/Regional Operations Director and all client files are maintained and record statuses are accurate.
• Interact with patients, families, physicians and caseworkers in order to obtain or determine the eligibility of the patient for Federal or State program assistance.
• Ensure primary focus is on optimizing revenue for clients and Elevate PFS.
• Develop and maintain an extensive knowledge base for County, Federal and State administered programs.
• Develop and maintain a thorough knowledge and understanding of eligibility systems, their codes, and their relationships so those problems can be identified and resolved.
• Ensures all agreed upon guidelines established by the client hospital are met. Informs District Manager/Regional Operations Director of any potential problems in a timely manner.
• Deliver efficient, high quality services and work with a commitment to improve services work processes, and performance.
• Work with Audit, Training and Implementation Team Leaders and helps develop any action plans necessary in appropriate facilities.
• Maintain appropriate contact and relationships with clients. When necessary, assist in marketing as directed by District Manager/Regional Operations Director.
• Ensure all employee reviews are completed timely. Initiate necessary disciplinary action and reports to Regional Manager/Dir. Of Operations actions taken.
• Reports to District Manager/Regional Operations Director on team accomplishments, achievements and productivity. Able to manage and motivate other team members to accomplish tasks and goals.

Job Qualifications:

• Some college and five plus years of related experience and/or training
• Thorough knowledge of government healthcare assistance programs and Medicaid application and appeals process. Prior multi-entity management experience.
• Ability to learn multiple state/federal/local financial assistance program policies and procedures
• Ability to learn and handle multiple responsibilities; and enforce priorities set by COO.
• Hospital Patient Financial Services experience helpful.
• Must have Driver's License

Benefits:
Elevate PFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.

• Medical, Dental & Vision Insurance
• 401K (100% match for the first 3% & 50% match for the next 2%)
• 15 days of PTO
• 7 paid Holidays
• 2 Floating holidays
• 1 Elevate Day (floating holiday)
• Pet Insurance
• Employee referral bonus program
• Teamwork: We believe in teamwork and having fun together
• Career Growth: Gain great experience to promote to higher roles

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage.
The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Elevate PFS is an Equal Opportunity Employer

Job Type: Full-time

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