Duke University

Program Coordinator- Patient Financial Assistance Case Management

Durham, NC, US

Onsite
Full-time
2 days ago
Save Job

Summary

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Plan, coordinate and administer activities within assigned program areas; develop, coordinate and advise on policy related to assigned major programs. Work Performed * Ensure that the Social Security and Medicaid application for uninsured patients that require sponsorship on the Sharepoint site have been completed prior to sponsored hospital discharge. * Actively assist and follow patients requiring sponsorship on the Sharepoint site through completion of the Medicaid and Social Security process. * Serve as an educatiOnal resource for Patient/Family, their Case Manager and Medical Team on Social Security and Medicaid issues for patients identified with potential sponsorship needs. * Advise patients on complex financial concepts and procedures of applying for disability benefits. In some cases, may act as the authorized patient representative for the purpose of initiating an application for benefits and for conducting any and all activities associated with determination of eligibility of benefits, including the initiation and conduct of administrative and/or judicial appeals. * Follow-up with patient, the Department of Social Services, and the Social Security Administration to ensure all pertinent information has been provided relevant to the patient's application. This may require travel to county of patient residency for the purpose of providing information or transporting the patient to the Department of Social Services of Social Security Office for follow-up visits, obtaining additional records, and verifying or correcting information on behalf of the patient. * Review sponsorship case files to determine issues and sufficiency of evidence of documentation, analyzing Social Security Administration rules, Division of Medical Assistance guidelines and relevant regulations for applicability. Initiate fact finding research in support of denial of case merit. Verify the patient's potential eligibility for Medicaid and/or Social Security benefits. * Prepare hearing briefs, assemble documentary evidence and exhibits to represent the patient at Medicaid and/or Social Security Hearings for the purpose of reversing a negative disability decision. * Submit and track invoices and reimbursements for sponsored patients on the Sharepoint site. * Document all pertinent information in Case Management Notes and/or the Sharepoint system. Update the Sharepoint site for monthly leadership review. * Track and document benefit information on uninsured patients with identified sponsorship needs for use at length of stay meeting for DUH CSUs. * Perform other related duties incidental to the work described herein. Future State: * Follow non-sponsored, unfunded patients who are high utilizers or are frequently readmitted to assess for Medicaid/SSI/SSDI edibility. * Complete the social security application with patients identified by Case Management as high dollar where the MAC worker has initiated the Medicaid application. * Plan, coordinate and administer activities of assigned programs to perform other related duties incidental to the work described herein. appropriate recommendations or conclusions. * Prepare reports and analysis setting forth progress, adverse trends and materials. cooperative efforts are enhanced, and available resources are utilized. * Developing, implementing, and supervising related procedures, processes, services and systems; train employees in proper methods and procedures and ensure correctness of work. * Develop, plan, coordinate and implement activities including, but not limited to, seminars, conferences, workshops, short courses, clubs, shows, public events and other related programs. * Develop and coordinate new ideas and concepts for program themes, materials and resources to supplement, expand or replace existing program components. * Monitor and evaluate program effectiveness, investigate trends, and recommend and implement modifications to improve program effectiveness. * Coordinate and/or participate in public relations activities to include preparing and supervising the production of brochures, bulletins, newsletters and other promotional materials and/or publications, preparing press releases, designing ads and fliers, and responding to inquiries; develop plans and schedules for release of publicity * Represent assigned programs; serve on various committees and attend professional meetings as appropriate. * Maintain liaison with other programs, offices and departments at Duke to coordinate program business and to accomplish program objectives; interface with external organizations as appropriate to ensure Involved in the preparation of budgets; forecast, monitor, verify and reconcile expenditure of budgeted funds as appropriate. * Provide administrative support to staff within assigned program areas to support the accomplishment of program objectives; develop, coordinate and advise staff regarding program policy. * Provide staff leadership and recommend various personnel actions including, but not limited to, hiring, performance appraisal, promotions, transfers and vacation schedules. Knowledge, Skills and Abilities N/A Level Characteristics N/A Minimum Qualifications Education Work requires analytical, communications and organizational skills generally acquired through completion of a bachelor's degree program Experience Work requires three years of experience in program administration or involving academic, instructional or counseling activities to acquire skills necessary to plan, coordinate and implement a variety of program activities and events. Or an equivalent combination of relevant education and/or experience. Degrees, Licensures, Certifications N/A PROGRAM COORDINATOR Job Level: E1 Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Nearest Major Market: Durham Nearest Secondary Market: Raleigh

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