Job Description
GENERAL STATEMENT OF DUTIES AND RESPONSIBILITIES
The Department of Mental Health (DMH) is seeking a dynamic individual to serve as Patient Care Reimbursement Investigator (PCRI). The ideal candidate provides financial assistance to patients and the facility by ensuring that all entitlements and insurances are current to support the patient and assist the facility in billing.
Please note: This position is full time, 40 hours per week 8:00am-4:30pm. Days off: Saturday-Sunday
Duties and Responsibilities (These duties and responsibilities are not all inclusive):
- Works within the Department of Clinical Social Work Department assuming responsibility for all patient financial assistance, including but not limited to:
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- Meets with patients for purpose of gathering information and completing all relevant financial forms.
- Works with patients to make application for SSI, Social Security, and General Relief benefits when appropriate and/or reinstating benefits that may have been in suspended status.
- Works with patients and patient families to apply for all Medicaid /Mass health /Medicare coverage for hospital reimbursement; discharge planning, nursing home placement and/or general hospital admittance.
- Research patient entitlements for financial assistance.
- Communicates information to Department of Public Health (DPH) treasurer's office that in turn bills for services as per regulations.
- Provides DPH, Medicaid, Mass Health, Medicare etc. with appropriate forms to allow for billing in a timely manner as per regulations.
- On an as needed basis, meets with DPH treasury staff and with CSW supervisory staff to ensure good communication and problem solve issues, which arise.
Preferred Qualifications:
- Given the population served, bilingual or multilingual fluency
- Experience working with the mentally ill, behavioral challenged and disabled populations.
- valid drivers license
About Tewksbury Hospital:
Tewksbury Hospital operates a 370-bed facility and a campus of over 700 acres of land. Its patient care services are provided under the auspices of the Department of Public Health and Mental Health. Joint Commission accredited LTAC hospital that provides high quality, comprehensive treatment, care, and comfort to adults with chronic medical and mental illness. A full range of services are provided including 24/7 Nursing, Nurse Practitioners, Medicine as well as psychiatric and psychological services, a 6- bed dialysis unit, clinical laboratory, radiology, respiratory care, nutrition, speech/language, pathology, occupational therapy, physical therapy, therapeutic recreation and arts, and pharmacy.
Learn more:https://www.mass.gov/locations/tewksbury-hospital
DMH Mission Statement:
The Department of Mental Health assures and provides access to services and supports to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights, and supports mental health training and research.
Pre-Hire Process:
A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori and click on "Information for Job Applicants."
Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines.
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.
If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form
For questions about this requisition, please contact Employment and Staffing Customer Service at 1-800-510-4122, option 4.
Questions or issues regarding access/login credentials to MassCareers, please contact the Mass HR ESC at 617-979-8500.
Qualifications
First consideration will be given to those applicants that apply within the first 14 days.
Minimum Entrance Requirements: None:
SPECIAL REQUIREMENTS: Based on assignment, possession of a current and valid Massachusetts Motor Vehicle Operator's License may be required.
Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.
Comprehensive Benefits
When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.
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Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.
An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.
The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.