Patient Access Liaison II - MBH South Phila.

PROGRESSIONS INC•Philadelphia, PA

8d•Onsite

About The Position

Malvern Behavioral Health is seeking a full-time Patient Access Liaison II for its acute inpatient behavioral health facility at 1930 S Broad Street, Philadelphia, Pennsylvania. The role is part of the Finance department and is responsible for researching and verifying patients’ healthcare coverage, benefits, and payer requirements for reimbursement. The position involves verifying insurance through payer portals, contacting insurers for current benefit details and information about authorizations and claims, and discussing coverage and financial obligations with patients. The liaison updates billing records, attaches verification documentation to patient accounts, and works with Admissions, Utilization Management, and Patient Accounting. The role requires frequent telephone communication with patients and responsible parties, insurance providers, and managed care companies. The liaison provides customer service while maintaining patient confidentiality in accordance with HIPAA guidelines, entering accurate information, explaining estimated patient costs, and collecting upfront payments. The position also supports admissions by obtaining relevant information and securing required signatures. The job is full-time, day shift, with no travel. The work environment is weather-protected and has no hazardous conditions; the work is primarily sedentary with occasional walking and standing.

Requirements

High school diploma or equivalent required.
Client-focused and team-oriented approach.
Strong interpersonal and communication skills.
Flexibility to respond to sudden workload changes, emergencies, or staffing needs.
Dependability and problem-solving skills.
Focus on compliance and quality of performance.
Ability to perform essential duties satisfactorily, with reasonable accommodation available for individuals with disabilities.
Ability to use MS Office, billing software, a telephone, and other office equipment.
Ability to perform sedentary work, including lifting up to 10 pounds and occasionally carrying items such as patient charts, binders, letters, and small tools.
Ability to sit and occasionally walk and stand to carry out job duties.
Ability to communicate through spoken language and to hear and perceive sounds.

Nice To Haves

Bachelor’s degree preferred.
Knowledge of addictive diseases preferred.
Healthcare, admissions, or insurance experience is a plus.

Responsibilities

Research and verify patients’ healthcare coverage, benefits, and payer reimbursement requirements using insurance portals such as Promise (EVS), NaviNet, Availity, and PEAR.
Contact insurance companies to obtain current benefit details and information regarding authorizations and claim submission.
Discuss insurance coverage and benefits with patients and collect out-of-pocket balances, including requesting and accepting estimated payments by credit card or check.
Update the billing system and attach insurance verification documentation to patient accounts.
Communicate frequently by phone with patients or responsible parties, insurance providers, and managed care companies.
Maintain the confidentiality of patient information in accordance with HIPAA guidelines.
Enter insurance, benefit, and payer requirement information accurately into the computer system.
Provide excellent customer service to patients and families.
Verify active insurance plans and review deductibles, coinsurance, copayments, and other patient financial obligations.
Communicate with the supervisor about admissions requiring payment plans.
Calculate patient responsibility and clearly explain benefit details, estimated out-of-pocket costs, coverage limits, and policy benefits to patients or guarantors.
Document account information concisely and accurately and scan documents into patient accounts.
Check the billing system for outstanding prior balances, explain those balances to patients, and assist with setting up payment plans for prior patient activity balances.
Assist the Admissions team by obtaining pertinent information and securing admission documentation signatures as needed.
Participate in continuing education, in-service sessions, and other training to support professional growth.
Perform other duties assigned in support of Malvern Health’s vision and values.