*** Hiring Now Patient Benefit Coordinator I

About the Role

The Patient Benefit Coordinator (PBC) is responsible for assisting patients and/or families access financial resources, as well as, assist with various hospital, state or federal assistance programs, in addition to, communicating and advising patients on insurance benefits, Social Security/State Medicaid policy (Blue Book; DCF policy), creating procedure estimates, explaining financial liability, collecting payments and negotiating payment arrangements. The PBC will act as an advocate between billing department, clinic department, state and federal agency and will obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination. The PBC also communicates with outside facilities (i.e., Nursing homes), physician offices and other departments to ensure financial clearance has been secured on admitting and discharge.

Responsibilities

• Assist patients and/or families access financial resources
• Assist with various hospital, state or federal assistance programs
• Communicate and advise patients on insurance benefits, Social Security/State Medicaid policy (Blue Book; DCF policy)
• Create procedure estimates
• Explain financial liability
• Collect payments and negotiate payment arrangements
• Act as an advocate between billing department, clinic department, state and federal agency
• Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination
• Communicate with outside facilities (i.e., Nursing homes), physician offices and other departments to ensure financial clearance has been secured on admitting and discharge

Qualifications

Required: Two (2) years of experience in the insurance industry (private or government sponsored). A Bachelor's degree in Health Care Administration will be considered in lieu of required experience.

Education: High School Diploma, GED or Certificate.

Preferred Qualifications

• Previous experience with filing Public Assistance Applications (i.e. Medicaid) and/or with DCF
• Interviewing and/or collections experience
• Demonstrated ability to make independent decisions and handle multiple tasks simultaneously
• Demonstrated communication skills and ability to handle difficult situations
• Understanding of current regulatory guidelines
• Demonstrated knowledge of healthcare terminology
• Superior organizational skills and attention to detail; ability to prioritize multiple tasks and meet frequent deadlines
• Demonstrated ability to cultivate partnerships and positive relationships with other providers and community participants
• CHAA: Certified Health Access Associate preferred

Pay

$19.10/hr. to $28.60/hr.