Patient Health Benefits Counselor

• Accountable for making decisions supported by policy based on confidential financial information to determine qualification for CICP, Charity programs, or payment arrangements
• Utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures
• After verification of benefits and authorization, populates price estimate tool to decide patient portion
• Makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion
• Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies
• Must demonstrate accurate documentation electronically on account information and updates in a timely manner
• Screens self-pay patients to make the determination of eligibility for CICP, Charity programs, or payment arrangements
• Interacts with the Victims Compensation representative through the District Attorney's office and CBO for payment of patient bills
• Obtains pre-certification and benefits from insurance companies for the admission or expected admission of a patient to comply with the rules and regulations of the patient's insurance carrier
• Acts as hospital liaison between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration
• Must maintain patient/employee confidentiality

• 6 Months healthcare experience
• Knowledge of ICD and CPT coding
• Medical terminology with good customer service skills
• High School Diploma or GED required
• CPR Certification (as required by facility)

Preferred knowledge of registration and billing and credit scoring

• medical
• prescription drug
• dental
• vision plans
• life insurance
• paid time off
• tuition reimbursement
• retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings