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Enrollment And Eligibility Specialist - Womens And Children

Expired Job

JPS Health Network Fort Worth , TX 76102

Posted 2 months ago

JPS Health Network is a $950 million, tax-supported health care system for Tarrant County in North Texas. Licensed for 578 beds, the network includes an acute care hospital and more than 40 community-based clinics, including 19 school-based clinics. John Peter Smith Hospital is home to Tarrant County's first and only Level 1 Trauma Center, its only psychiatric emergency services site and has the largest hospital-based family medicine residency program in the nation. Our network employs more than 6,500 people.

Acclaim is our multispecialty medical practice group. Acclaim has over 300 providers serving the JPS Health Network in specialties ranging from primary care to general surgery and trauma. The Acclaim group has been formed around a common set of incentives and expectations supporting the operational, financial and clinical performance

outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

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Job Title:

Enrollment and Eligibility Specialist - Womens and Children

Requisition Number:

Employment Type:

Full Time


Nursing Services

Compensation Type:


Job Category:

Support Services

Hours Worked:


Northwest Health Center for Women

Shift Worked:

TBD-To be determined

Job Description:

Description: The Eligibility & Enrollment Specialist Women & Children obtains third party coverage for patients who have no other means of payment. Ensures that all payment/program possibilities are exhausted. This job approves the patient for JPS Connection and other County, State and/or Federal assistance programs.

Typical Duties:

  • Receives, reviews, processes and conducts timely follow-up on enrollment packets received to ascertain the potential for eligibility for Charity Care and/or other programs.

  • Approves patients for Charity Care, refers completed cases to HHSC for Medicaid and other State or Federal programs, or refer difficult accounts to patient advocacy group and/or social services in accordance with established guidelines.

  • Assists patients in completion of program applications and other paperwork.

  • Ensures that all program applications submitted to HHCS are complete with supporting documentation needed to make an eligibility determination.

  • Inputs and updates data in the eligibility determination system and the hospital computer system when changes occur.

  • Obtains and scans all necessary demographic and clinical information required to properly determine potential program eligibility.

  • Answers phone calls in a timely manner to ensure abandonment rate is maintained at less than 10%.

  • Provides support to Eligibility and Enrollment screeners as patient volumes demand.

  • Maintains a minimal error rate in accordance with established guidelines.

  • Maintains productivity levels as determined by established standards.

  • Performs other related job duties as assigned.


Required Education and Experience:

  • High School Diploma, GED or equivalent.

  • 5 plus years of experience in a medical office; 3 years of experience in enrollment and eligibility.

  • 1 plus years of experience with Federal and State financial assistance programs and third party coverage required.

  • 1 plus years of experience using Microsoft Professional Office Suite to include Word, Excel and Outlook.
    Preferred Education and Experience:

  • Associates degree in Health Care, Business or related field of study.

  • 2 plus years of Health and Human Services Commission eligibility experience.

  • 3 plus years of experience in a medical office in a registration or eligibility and enrollment position.
    Preferred Licensure/Certification/Specialized Training:

  • SAVE Immigration Verification Training.

Location Address:
2200 Ephriham Avenue

Fort Worth, Texas, 76164

United States

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Enrollment And Eligibility Specialist - Womens And Children

Expired Job

JPS Health Network