
Job Description
The Dayton, Ohio Veterans Affairs Medical Center's Patient Business Service is recruiting for a well-qualified Contact Representative for the Enrollment and Eligibility Unit.
Duties Duties include, but are not limited to: Interviewing applicants by phone or in person to determine whether they are eligible for enrollment for healthcare. Listening to customers, and paying attention to the details of the customer's needs and concerns. Interpreting and applying knowledge of healthcare options, local, state, and national policies to be able to accurately respond to inquiries about eligibility for healthcare and benefits. Informing applicants of requirements for determining eligibility, income disclosure and financial threshold tests, insurance information disclosure and other necessary demographic information. Assisting applicants and stakeholders with completing applications for enrollment for healthcare benefits, including, but not limited to, regular enrollments, hardship enrollments, catastrophically disabled enrollments, and applications for death benefits. Processing various requests for Release of Information (ROI), financial threshold tests, and applications, and scanning documents as needed. Reviewing military service documents, and other documents to make eligibility determinations for healthcare. Acquiring copies of relevant and necessary documents for scanning into the applicant's permanent records. Querying multiple information systems to determine and/or verify basic eligibility for healthcare. Initiating requests for assistance from other internal and external agencies to determine eligibility for healthcare. Assisting the applicant with acquiring other documents and paper records if information system queries cannot establish eligibility. Processing transfer enrollments from other medical facilities and updates existing enrollment demographics which may have lapsed over a period of time. Promoting and maximizing a knowledgeable, courteous, and harmonious working relationship among patients, family members, staff, the community, and other stakeholders, and enhancing customer satisfaction in all interactions. Safeguarding access to printed and electronic files containing sensitive data and information, which must be protected under the provisions of the Privacy Act of 1974, HIPAA, and other applicable local, state, and federal laws, regulations, and policies; and maintaining security within areas of responsibility to assure that computer system security and confidentiality of sensitive information is not divulged, and that employee access to sensitive information is limited only to that which the employee needs in order to perform official duties. Taking necessary action to report and address violations of information security. Work Schedule: Monday through Friday, 0800-1630 Position Description/PD#: Contact Representative/PD92716A Relocation/Recruitment Incentives: Not authorized Critical Skills Incentive (CSI): Not approved Permanent Change of Station (PCS): Not authorized Salary- $51,821 - $67,371/year