[Hiring] Patient Health Benefits Counselor @Mountain Region Support

Role Description

As our Patient Health Benefits Counselor, you will make policy-supported decisions based on confidential financial information to determine patient qualification for:

• Countermeasures Injury Compensation Program (CICP)
• Charity programs
• Payment arrangements

You will also verify coverage and authorization for all scheduled procedures. Every day you will:

• Utilize scheduling and registration information to confirm benefits
• Populate price estimate tools to determine patient portions
• Obtain necessary authorizations
• Collect payments
• Serve as a crucial liaison between patients, physicians, clinics, case management, and various billing/eligibility entities

To be successful in this role, you will possess:

• Strong analytical skills for financial assessment
• Meticulous attention to detail in benefit verification and authorization
• Excellent communication and negotiation abilities for patient counseling and payment collection
• A deep understanding of patient financial programs and insurance processes

• Demonstrates accurate documentation electronically on account information and updates in a timely manner
• Screens self-pay patients to determine eligibility for CICP (as applicable), charity programs, or payment arrangements
• 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 demonstrate and maintain knowledge of registration pathways
• Collects patient portion as determined by the patient's insurance

This is a PRN position (5 shifts scheduled in a 6-week period). This position is used to cover call-offs, vacations, and where coverage may be needed. PRN is not eligible for benefits but does offer a 15% differential on top of the base rate of pay.

This position is 100% remote. Must live no more than an hour from a CommonSpirit Hospital/facility in either Kansas or Colorado.

Qualifications

• High School Diploma or GED
• Six (6) months healthcare experience
• Knowledge of ICD 10 and CPT coding
• Medical terminology with good customer service skills

Requirements

• Knowledge of registration and billing and credit scoring
• CPR Certification (as required by facility)