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

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