Patient Health Benefits Counselor Job at American Nursing Care (Centennial)

Patient Health Benefits Counselor

Accountable for making decisions supported by policy based on confidential finan...

Location

United States , Centennial

Salary:

18.00 - 27.23 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

6 Months healthcare experience
Knowledge of ICD and CPT coding
Medical terminology with good customer service skills
High School Diploma or GED required

Job Responsibility

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

What we offer

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

Fulltime

Specialty Pharmacy Patient Financial Counselor

The Specialty Pharmacy Patient Financial Counselor is responsible for acting as ...

Location

United States , Lenexa

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

High School Graduate plus 3-year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions
OR Associates Degree in a related field of study from an accredited college or university plus 1-year of experience in specialty pharmacy, medication assistance, prior authorizations, pharmacy benefits investigation, managed care, financial advising, claims processing, collections, or revenue cycle positions
Must be able to type 45 wpm
Kansas Pharmacy Technician within 60 days of hire (Registration includes application with state board of pharmacy). No test or specific previous work experience is required to obtain your initial Kansas Pharmacy Technician registration from Kansas Board of Pharmacy which is issued for two years
Demonstrates strong oral and written communication skills
Ability to multi task, prioritize, and escalate
Demonstrated good oral and written skills
Knowledge of Insurance (Commercial & Government)
Knowledge of how to navigate payor websites
Working knowledge of CMS regulations as applicable to Medicare Part B and D plans

Job Responsibility

Effectively gathers patient information to complete a specialty prescription benefits investigation within a specified time frame
Interpret, comply, and communicate Medicare/Medicaid rules and regulations, when appropriate
Ensures appropriate billing of all specialty prescription medications including the completion of any required insurance authorizations using information in the medical record to satisfy the insurance requirements
Follows up with insurance companies on denials and insurance inquiries as necessary to resolve the account within a specified time frame
Provides additional information or documentation as needed to resolve account
Seeks out copay assistance for specialty prescriptions and applies on behalf of the patient when possible. Requires review of patient’s financial documents and coordination of necessary application materials, as appropriate
Follows up with copay assistance foundations to ensure applications are reviewed and processed in a timely manner. Provides any additional information as necessary to resolve the account within a specified time frame
Communicates payer trends to management
For uninsured and underinsured patients with no other copay assistance options, seeks out free drug from available manufacturer programs and applies on behalf of the patient. Requires review of patient’s financial documents and coordination of necessary application materials, as appropriate
Follows up with manufacturer programs to ensure applications are received and being processed

Fulltime

Access Services Financial Counselor

The Financial Counselor performs financial clearance tasks like verifying insura...

Location

United States , Pflugerville

Salary:

Not provided

Baylor Scott & White Health

Expiration Date

Until further notice

Requirements

H.S. Diploma/GED Equivalent
3 Years of Experience
3 years of healthcare experience or education equivalency required
Proven ability to problem-solve, perform critical thinking
Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette
Maintain a professional demeanor in stressful and emotional environments including crime, behavioral health, suffering patients, and life-or-death situations
Must exhibit high empathy and communicate effectively with patients and families during traumatic events, while showing exceptional customer service skills
Demonstrates ability to manage multiple, changing priorities in an effective and organized manner
Excellent data entry, numeric, typing and computer navigational skills
Basic computer skills and Microsoft Office and Excel

Job Responsibility

Performs financial clearance tasks like verifying insurance and providing price estimates
Resolves disputed billing issues through patient interaction
Serves as an expert in financial assistance policies and facility collections, and supports special projects
Works closely with facility leadership to ensure all patients are financially cleared and screened
Conducts patient interviews to obtain demographic and financial data for registration, insurance verification, pre-certification and billing
Records accurate patient demographic information when reviewing previous accounts and accounts with future dates of service
Follows and acts on several complex system policies (financial assistance, limited plan, point of service, out of network, etc.)
Obtains and screens guarantor financial information for financial assistance and or refers patient to appropriate resource for public assistance programs
Provides estimates of procedures and services, calculates payment requirements, and negotiates pre-service payments according to financial clearance requirements
Establishes payment arrangements for future and previous services

What we offer

Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1

Fulltime

Therapist - Addictions

The therapist leads the collaboration among an interdisciplinary team to develop...

Location

United States , Madison

Salary:

Not provided

Rogers Behavioral Health

Expiration Date

Until further notice

Requirements

Master’s Degree in Social Work, or related field, from an accredited school of Social Work, Professional Counseling, or Family Therapy with experience in health care and in a psychiatric setting, preferred
At minimum, an in-training as a Licensed Professional Counselor (LPC-IT), Marriage and Family Therapist Training License (MFT-TL), Advance Practice Social Work (APSW) or equivalent in state practicing
If working in a program requiring substance use credentialing, a SAC-IT, SAC, or CSAC required in Wisconsin. A substance use specialty authorization applicable to the state hired in is required
Working knowledge of therapeutic intervention and techniques for all age groups, as well as the dynamics of human growth and behavior
Required on-the-job Training
Compliance with Residential Care Center (RCC) and Community Based Residential Facility (CBRF) (Required for Residential Inpatient programs, preferred for all levels of care)
American Heart Association CPR certification within thirty (30) days of hire. Bi-annual re-certification is required
Training in Nonviolent Crisis Intervention (NCI) within sixty (60) days of hire/transfer. Annual re-certification is required
Attend all mandatory in-services and other in-services relevant to the position
Be responsible for all educational requirements and related obligations pertaining to the license of the program/unit license regulatory requirements governing the program(s)

Job Responsibility

Conduct individual, group, and family therapy sessions: Providing one-on-one therapy, group therapy, and family therapy sessions to address patients' specific needs and goals
Assessing patients' needs: Conducting comprehensive assessments to identify patients' mental health concerns, strengths, and challenges
Developing treatment plans: Creating individualized treatment plans based on patients' needs and goal
provide guidance in the implementation of clinical interventions, including but not limited to facilitating treatment team meetings
Providing counseling and support: Incorporating evidence-based therapeutic techniques to help patients manage their symptoms and improve their overall well-being within sessions and in-the-moment as needed in the milieu
Educating patients: Teaching patients about their mental health and/or substance use condition, self-care strategies, and treatment options to support patients in reviewing the costs and benefits of treatment engagement and aftercare plans
Documenting patient progress: Maintaining detailed records of therapy sessions, including patient progress, goals, and interventions. Complete all documentation within required time
Collaborating with other professionals (both internally and externally): Working with other members of the treatment team, such as psychiatrists, social workers, and case managers, to coordinate care and ensure optimal outcomes
Adhering to ethical guidelines: Following ethical codes of conduct and maintaining confidentiality in all interactions with patients
Continuing education: Participating in ongoing professional development to stay updated on the latest research and best practices in the field of mental health

What we offer

New Employee Retention Bonus
$2,000.00 retention bonus available! (In-training licensure)
$4,000.00 retention bonus available! (Fully licensed)
Health, dental, and vision insurance coverage for you and your family
401(k) retirement plan
Employee share program
Life/disability insurance
Flex spending accounts
Tuition reimbursement
Health and wellness program

Parttime

Prn Admissions Counselor Saturday Overnight

We are seeking a clinical professional responsible for facilitating admissions, ...

Location

United States , Philadelphia

Salary:

Not provided

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred
One or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred
Current licensure, as required for the area of clinical specialty, i.e., current RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility)
First aid may be required based on state or facility

Job Responsibility

Respond to inquiries about the facility within facility policy timeframes
Ability to develop therapeutic relationships with patients and families
Perform benefit eligibility to ensure patient benefits are active at the time of admission
Communicate benefit eligibility to the business office and the patient or significant other
Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations regarding pending referrals
Coordinate admission and transfer from referral sources and between levels of care within the facility
Maintain knowledge of milieu management
Communicate projected admissions to designated internal representatives promptly
Ensure all clinical information from referral sources or patient (including medical comorbidity information) is received, when possible, prior to patient admission
Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician, and communicate disposition recommendations to patient or their family

Parttime

Medicaid Enrollment and Outreach Specialist I

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Rochester

Salary:

23.51 - 30.16 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree (preferred)
Limited experience with Medicaid programs
1-2 years of experience in case management or related field or equivalent combination of education and experience
Foundational knowledge of public benefit rules and regulations (preferred)
Demonstrates professionalism, motivation, and strong communication (written and verbal)
Possesses customer service skills and the ability to work independently and solve problems in an interdisciplinary team
NY State of Health Certified Application Counselor (preferred)
Must provide and maintain a valid NYS Class 5 driver’s License

Job Responsibility

Counsels, guides, advises and provides outreach services to patients requiring public benefits including Medicaid, Child Health Plus, NYS Marketplace Exchange or other public entitlements
Accountable for coordinating all activities and necessary documentation needed to secure appropriate benefits
Resolves complex problems related to this process
Shares expert public benefits knowledge by providing consultation to physicians, social workers and other Health System staff whose patients require benefit assistance for payment and discharge planning
Benefit Management: apply for benefits via computer systems and/or paper application and may accompany or represent the patient at eligibility interviews, case conferences or fair hearings
Provides application assistance to patients referred by University of Rochester Health System staff through face-to-face interaction, telephone contact and home visitation for patients requiring assistance
Referral Coordination: Responsible for assessing referrals to determine eligibility for potential benefits and develops a plan of action to secure each
Communicates, coordinates and develops professional relationships with internal departments and external agencies
Monitoring Caseload, Documentation, and Reports: monitor caseload and is responsible for accurate and timely documentation in requisite systems
Reviews productivity reports and prepares status updates as required by management

Fulltime

Behavioral Health Case Manager

The Behavioral Health Case Manager is responsible to provide care/service safely...

Location

United States , Kansas City

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

Master's Degree
Master’s level Licensure with the Behavioral Sciences Regulatory Board as one of the following: Licensed Professional Counselor (KS), Licensed Master Social Worker (KS), Licensed Marriage and Family Therapist (KS)
State of Kansas Social Work license
Ability to proficiently read and document in electronic medical record

Job Responsibility

Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice
Initiates and participates in family conferences to determine psychosocial and discharge planning needs
Completes psychosocial assessments of patient/family situations
Utilizes social work assessment and input from other team members to formulate realistic recommendations for social work action plan
Locates community resources and connects patient with resources
Assists in determining financial concerns including insurance and assists in application for social security benefits
Responsible for understanding various State Waivers, qualifications for each waiver and how to assist patients
Connects patient with Community Mental Health or other agencies or private providers
Coordinates community placement for appropriate post-hospital discharge planning and coordination
Advocates on behalf of patients and caregivers for identification and access to services

Fulltime

Behavioral health case manager

The Behavioral Health Case Manager is responsible to provide care/service safely...

Location

United States , Kansas City

Salary:

Not provided

The University of Kansas Health System

Expiration Date

Until further notice

Requirements

Master's Degree
Master’s level Licensure with the Behavioral Sciences Regulatory Board as one of the following: Licensed Professional Counselor (KS), Licensed Master Social Worker (KS), Licensed Marriage and Family Therapist (KS)
State of Kansas Social Work license
Ability to proficiently read and document in electronic medical record required.

Job Responsibility

Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice
Initiates and participates in family conferences to determine psychosocial and discharge planning needs
Completes psychosocial assessments of patient/family situations
Utilizes social work assessment and input from other team members to formulate realistic recommendations for social work action plan while patient is hospitalized and formulate and execute an appropriate discharge plan
Locates community resources and connects patient with resources to assist in their living situation
Assists in determining financial concerns including insurance and assists in application for social security benefits
Responsible for understanding various State Waivers, qualifications for each waiver and how to assist patients in determining eligibility and obtainment of waiver services
Connects patient with Community Mental Health or other agencies or private providers
Coordinates community placement for appropriate post-hospital discharge planning and coordination
Advocates on behalf of patients and caregivers for identification and access to services

Parttime

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Patient Health Benefits Counselor

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