Public Resource Specialist - Programs & Appeals
San Diego, CA 
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Posted 10 days ago
Job Description

Description

At Scripps Health, you will experience the pride, support, and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.

You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.

Join a great team supporting the RAVE/Training department at our Scripps Corporate Office as a Public Resource Specialist. In this position, you will be responsible for a variety of tasks involving un-funded or under-funded patients admitted to Scripps Health, including:

  • Assist Scripps unfunded and under-funded patients and their families with applying for Public Assistance by submitting applications to the county, monitoring of the applications, through to the highest level of appeals while adhering to all policies on fraud/abuse and providing excellent customer service to patients and other customers
  • Acting liaison between Scripps, County HHSA/HCSS HOPE and FRC programs
  • Meets productivity and quality standards
  • Acts as a resource to Case Management, Social Work and other hospital staff if patient funding impacts discharge planning and transfers
  • Makes home calls when necessary as part of assisting with application/verification process

This is a Full Time, Day shift position with a Monday - Friday schedule and eight hour shifts with flexible start times between 7:30AM - 9:30AM once training is complete. This role is based at Scripps Mercy Hospital Chula Vista and has one remote day per week. Some floating to other sites may be required.

Qualifications
  • Minimum of 5 years of experience as an Eligibility Case Worker with either the County, State or Federal Public Benefits Agency.

  • Bilingual in Spanish.

  • CA Driver's License.
  • Ability to comprehend and apply knowledge of State, Federal, and County Eligibility Policies.
  • Ability to interpret and explain complex processes to a predominant indigent population.

  • Excellent organizational and communication skills.

  • Experienced in dealing with a socially and economically disadvantaged patient population.

Preferred Qualifications:

  • Bachelor's degree preferred.
  • Notary license preferred.
  • Appeals experience preferred.

Job: Business Office
Primary Location: Central San Diego County-SAN DIEGO-SCRIPPS CORPORATE OFFICES
Work Locations:
SCRIPPS CORPORATE OFFICES
4275 CAMPUS POINT COURT
SAN DIEGO 92121
Organization: Scripps Health Corp

Job Posting: May 10, 2024, 2:57:02 PM
Benefit Status: FT - FULL-TIME WITH BENEFITS
Minimum Rate (USD): 27.41 - Maximum Rate (USD): 41.12

In compliance with the California Pay Transparency Act, Scripps Health posts the pay range for all jobs. Please note that actual pay will be determined based on relevant experience and internal equity within the pay range. Please also note this range is applicable for employees who reside in California only. A geographical pay differential may be applied for remote employees who reside out of state. Scripps Health strives to ensure that our employees receive equal pay for equal work in line with our commitment to being an equal opportunity employer. Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.

Scripps Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

 

Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
5+ years
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