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Patient Benefits Advocate

2 months ago

Lake City, South Carolina, United States HopeHealth Full time
Job Summary

HopeHealth is seeking a highly skilled Patient Benefits Counselor to join our team. As a Patient Benefits Counselor, you will be responsible for assisting patients with obtaining benefits to cover medical care, prescription drugs, and outside referrals.

Key Responsibilities
  • Meet with all new patients upon first visit to HopeHealth to discuss benefits options.
  • Screen all new patients for interest in applying for benefits offered via the Annual Registration Form.
  • Responsible for the review, input, and scanning of new patient paperwork.
  • Input critical information into practice management system (PMS) including demographic, payer, patient responsibility, and additional reporting data.
  • Use SC Thrive to determine if patient is eligible for benefits such as Medicaid, Affordable Care Act (ACA), Sliding Fee Discount Program (SFDP), and WellVista.
  • Assist qualified patients with the proper documents needed for Medicaid, Sliding Fee Scale Discount program, Affordable Care Act, and WellVista applications.
  • Verify eligibility and benefits of insured patient and clearly explain so patient is aware of eligibility and benefits of their insurance policy and their responsibility.
  • Navigate uninsured patients through the Affordable Care Act insurances during open enrollment if they do not qualify for Medicaid.
  • Enter patient payer information into Pharmacy Benefit Manager (PBM) timely.
  • Update the PMS and PBM as patient moves thru steps of the benefit process.
  • Coordinates with other HopeHealth departments to assist patients with financial needs.
  • Address actions on a daily basis by contacting the patient by phone to follow up on needed paperwork, answer patient questions, or other requested items.
Requirements
  • High School Diploma or GED required. Associates degree in related field preferred.
  • 1-2 years of medical office or hospital experience, preferably in front office or financial counselor role.
  • eClinicalWorks experience preferred.
  • Proficient with Microsoft Office Suite specifically Excel and Word.
Preferred Skills
  • Demonstrates the ability to work in a high pressure environment.
  • Strong active listening skills, attention to detail, and decision-making skills are required.
  • Pleasant, friendly attitude with the ability to adapt to change is essential.
  • Superior problem-solving abilities are required.
  • Ability to collaborate with all departments.
  • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
  • Ability to communicate effectively utilizing both oral and written means.
  • Ability to handle various tasks simultaneously while working efficiently, effectively, and independently.
  • Ability to show compassion to patients of all backgrounds and social status.
  • Must obtain and retain ability to utilize SC Thrive, ACA product, and other programs used to assist patients with benefits.
  • Must pass an internal PBC Certification exam within three (3) attempts or six (6) months of acquiring position in order to retain position.