University of Washington Human Resources

UW CODE AND REPRESENTATIVE GROUP

8074 (SEIU Local 925 Clerical Nonsupervisory)

BASIC FUNCTION

Screen for and advise patients regarding Medical Assistance/Medicaid programs; complete applications and support documentation for patients; submit and monitor processing of applications;

DISTINGUISHING CHARACTERISTICS

Under general direction, apply knowledge of Medical Assistance/Medicaid program qualifications to complete applications for patients; determine possible eligibility and assist patients through Washington and other states' Medical Assistance/Medicaid application process.

TYPICAL WORK

Screen unsponsored or limited-sponsored patients for Medical Assistance/Medicaid eligibility by reviewing patient financial status;

Review scheduled admissions, verify continued in-state or out-of-state Medical Assistance/Medicaid eligibility and obtain admission authorization for Washington and other states' Medicaid programs;

Document progress of each case;

Review with patients, income and assets for Medical Assistance/Medicaid eligibility; advise patients of Medicaid and uncompensated care programs;

Assist patients and/or patient's families in completion of Medical Assistance/Medicaid applications; submit applications to Department of Social and Health Services (DSHS) office(s);

Compose correspondence requesting information, verifications, and documentations to support the application and for DSHS eligibility determination;

Assist patients in accessing hospital and community services by consulting and making referrals to social workers, patient care coordinators, nursing liaisons, outside agencies and legal services;

Maintain and update billing requirements and/or Medical Assistance/Medicaid application tracking system;

Maintain contact with patients to assist in response to additional requests from DSHS;

Request hospital, physician, and other provider bills to meet Medical Assistance/Medicaid deductible and spend down requirements;

Conduct home and jail visits to complete the Medical Assistance/Medicaid application process;

Advise and assist patients in the Medical Assistance/Medicaid reconsideration and fair housing procedures;

Complete necessary requirements to bill an account;

Monitor inpatient accounts for progress billing and extension approvals; request long-term care authorizations;

Compose various correspondence to the Medical Assistance/Medicaid application process;

Perform related duties as required.

MINIMUM QUALIFICATIONS - UW Contract Classified
DESIRABLE QUALIFICATIONS - Classified Non-Union

Two years of college-level courses AND two years of experience in a health care business office, social services agency or in a customer service position in a financial institution

OR

Equivalent education/experience.

New Class: 12-7-90