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Medical Services Representative

Salary: $14.86-$18.14 hourly / $2,585-$3,156 monthly / Range: 4744

DEFINITION: Under general supervision, applies regulations and procedures to determine applicants' eligibility under the Medically Indigent Adult Services Program (MIA); refers clients to other appropriate programs such as Medi-Cal; and performs related duties as required.

EXAMPLES OF DUTIES:

1. Interviews and screens people of diverse socio-economic backgrounds and temperaments for eligibility under the Medically Indigent Adult Services Program.
2. Elicits information from applicants, at times in difficult and emotional circumstances, about their financial status, resources, and obligations.
3. Determines eligibility for the program in accordance with department policies and procedures.
4. Verifies and records eligibility data in case files using a computer equipped with MIA software and reviews documentation for accuracy, completeness, and consistency.
5. Determines share of cost responsibility of applicants based on their income and explains this responsibility as well as ways to meet these obligations.
6. Explains program requirements and regulations to applicants, health care providers, staff of community agencies, and the public.
7. Evaluates patients for Medi-Cal eligibility and refers them, when appropriate, to the Department of Social Services.
8. Works closely with utilization review and social services staff to ensure that patients are appropriately directed to other assistance programs for which they are eligible.
9. Screens non-MIA patients referred by clinic or reception staff for potential eligibility for other assistance programs and makes referrals as appropriate.

EMPLOYMENT STANDARDS:

1. Equivalent of graduation from high school and two years of responsible office experience including substantial public contact (College coursework may be substituted for experience on a year for year basis.); or,
2. one year of experience interviewing people for program eligibility in a health care or social service setting; or,
3. a combination of training, education, and experience that is equivalent to one of the employment standards listed above and that provides the required knowledge and abilities.

Additional Qualifications: Possession of a valid Class C California Driver's License. Requires to speak and write in Spanish.

Ability to: learn interview techniques and basic medical terminology; elicit information of a highly personal nature from a broad spectrum of people; deal effectively with angry/uncooperative clients; interpret, explain, and apply rules and regulations; understand basic financial documents such as wage stubs and simple tax returns; organize work; communicate clearly; maintain confidentiality of client information; learn the range of applicable County and community resources; keep complete and accurate records; use a computer to enter and retrieve data.
 



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