Patient Benefits Coordinator
3 weeks ago
The Patient Benefits Representative will play a crucial role in ensuring that patients receive the necessary support and guidance to navigate their insurance coverage and benefits. This position requires a high level of expertise in insurance benefits and a strong ability to communicate complex information to patients in a clear and concise manner.
Key Responsibilities- Obtain and verify patient insurance coverage information and demographics
- Assess patients' financial ability to meet expenses and discuss payment arrangements
- Provide education on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses
- Complete Patient Cost Estimate forms and forward to billing office
- Obtain insurance pre-authorization or referral approval codes prior to each treatment
- Review patient account balance and notify front desk of patients to meet with
- Verify and update demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs)
- High school diploma or equivalent required
- Minimum three (3) years patient pre-services coordinator or equivalent required
- Proficiency with computer systems and Microsoft Office (Word and Excel) required
- Demonstrate knowledge of CPT coding and HCPS coding application
- Must be able to verbally communicate clearly and utilize the appropriate and correct terminology
- Associates degree in Finance, Business or four years revenue cycle experience preferred
- Minimum three (3) years pre-services coordinator experience and two (2) years of patient benefits experience required
- Must be able to demonstrate knowledge and appropriate application of insurance coverage benefits and terminology
- Uses Technical and Functional Experience: Possesses up to date knowledge of the profession and industry; is regarded as an expert in the technical/functional area; accesses and uses other expert resources when appropriate
- Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities, ambiguity and rapid change; shows resilience in the face of constraints, frustrations, or adversity; demonstrates flexibility
- Uses Sound Judgment: Makes timely, cost effective and sound decisions; makes decisions under conditions of uncertainty
- Shows Work Commitment: Sets high standards of performance; pursues aggressive goals and works efficiently to achieve them
- Commits to Quality: Emphasizes the need to deliver quality products and/or services; defines standards for quality and evaluates products, processes, and service against those standards; manages quality; improves efficiencies
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