[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, or payment arrangements, while also verifying coverage and authorization for all scheduled procedures.

• Utilize scheduling and registration information to confirm benefits.
• Populate price estimate tools to determine patient portions.
• Obtain necessary authorizations and collect payments.
• Serve as a crucial liaison between patients, physicians, clinics, case management, and various billing/eligibility entities.
• Demonstrate accurate documentation electronically on account information and updates in a timely manner.
• Screen self-pay patients to determine eligibility for CICP (as applicable), charity programs, or payment arrangements.
• Obtain pre-certification and benefits from insurance companies for the admission or expected admission of a patient.
• Act as hospital liaison between insurance companies, case managers, central business office, third party Medicaid eligibility vendor, and registration.
• Demonstrate and maintain knowledge of registration pathways.
• Collect 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 (preferred).
• CPR Certification (as required by facility, preferred).