Health Benefits Analyst

About the role

The Health Benefits Analyst conducts interviews and counsels patient account guarantors to identify sources of payment for hospital bills. Reports to the Patient Account Manager.

Responsibilities

• Verifies insurance eligibility and benefits for transplant services.
• Obtains insurance authorizations related to transplant services.
• Obtains transplant pharmacy authorizations.
• Serves as a resource to the patient for insurance coverage and billing inquiries.
• Acts as a liaison to the transplant team to ensure financial coverage for transplant services.
• Functions as a liaison between hospital departments, insurance carriers, third‑party vendors, and patients in obtaining insurance eligibility, authorization of services, and funding sources for hospital services.
• Performs a variety of patient accounting functions to ensure timely collection and processing of hospital accounts receivable.
• Performs other duties as assigned.

Qualifications

• Bachelor’s degree preferred.
• Minimum of one to three years of experience working in patient financial services, transplant financial counseling, and/or transplant insurance authorizations.
• Minimum of six to twelve months of medical billing experience in a hospital or physician office patient accounts department.
• Comprehensive knowledge of medical/pharmaceutical terminology required.
• Prior transplant experience a plus.
• Strong organizational skills and ability to work independently.
• Interpersonal skills necessary to effectively gather and exchange information in both oral and written communications.
• Intermediate level typing and personal computer skills to maintain and create routine business correspondence.
• No licenses or certifications required.

Working Conditions

Normal office environment with little exposure to excessive noise, dust, temperature, and the like.