Medical Services Representative
Salary: $14.86-$18.14 hourly / $2,585-$3,156 monthly / Range:
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
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,
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.
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.