Patient Benefits Rep

Responsibilities

• Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.
• Assess patients ability to meet expenses and discusses payment arrangements.
• May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms.
• Completes Patient Cost Estimate form.
• Completes appropriate reimbursement and liability forms for patient's review and signature.
• Forwards appropriate information and forms to billing office.
• Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
• Review patient account balance and notify front desk of patients to meet with.
• Ensures that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately.
• At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).
• Stays current on available financial aide.
• Develops professional relationships with financial aide providers.
• Networks with financial aide providers to obtain leads to other aide programs.
• Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient*s records.
• Maintains updated manuals, logs, forms, and documentation.
• Performs additional duties as requested.
• Assists pre-services team with obtaining insurance referral authorizations for office services when needed.

Qualifications

• High school diploma or equivalent required.
• Minimum three (3) years patient pre-services coordinator or equivalent required.
• Proficiency with computer systems and MicroSoft Office (Word and Excel) required.
• Demonstrate knowledge of CPT coding and HCPS coding application.
• Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
• Must successfully complete required e-learning courses within 90 days of occupying position.

Benefits

• Medical Healthcare Reimbursement Accounts (HRCA)
• Health Savings Accounts (HAS)
• Dental
• Vision
• Life Insurance
• Short-Term Disability (STD)
• Long-Term Disability (LTD)
• Employee Assistance Program (EAP)
• Commuter Benefits
• 401(k)
• Wellness Program
• Paid Time Off

Schedule

Full-time position.

Pay

$20.00 - $27.00 per hour based on candidate's experience, education, and skills.