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 at its acute inpatient behavioral health facility at 1930 S Broad Street, Philadelphia, Pennsylvania. The position is in the Finance department and reports up through that department. It is responsible for researching and verifying patients’ healthcare coverage, benefits, and payer requirements for reimbursement. The liaison verifies insurance through payer portals and by contacting insurance companies, and discusses coverage and benefit details with patients while collecting out-of-pocket balances. The role includes updating the billing system, attaching verification documentation to patient accounts, documenting and scanning account information, and working with Admissions, Utilization Management, and Patient Accounting. The position involves extensive telephone communication with patients, responsible parties, insurance providers, and managed care companies, while maintaining patient confidentiality and providing excellent customer service. A competitive salary and comprehensive benefits package are offered.

Requirements

High school diploma or equivalent required.
Client-focused and team-oriented, with strong interpersonal and communication skills.
Ability to adapt to sudden changes in workload, emergencies, or staffing.
Dependability and problem-solving skills.
Focus on compliance and performance quality.
Ability to perform the essential duties satisfactorily, with reasonable accommodation where applicable.

Nice To Haves

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

Responsibilities

Research and verify patient healthcare coverage, insurance benefits, and payer requirements for reimbursement.
Verify insurance using payer portals, including Promise (EVS), NaviNet, Availity, and PEAR Portals.
Contact insurance companies to obtain current benefit details and information about authorization and claim submission.
Discuss insurance coverage and benefits with patients and collect out-of-pocket balances.
Update the billing system and ensure insurance verification documentation is attached to the patient’s account.
Communicate by phone with patients and responsible parties, insurance providers, and managed care companies.
Maintain strict 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 that insurance plans are active, check for upcoming termination dates, and determine patient financial obligations such as deductibles, coinsurance, and copays.
Communicate with the supervisor about admissions requiring payment plans.
Calculate patient responsibility and explain benefit details, estimated out-of-pocket responsibilities, coverage limits, and policy benefits to patients or guarantors.
Request and accept estimated-balance payments by credit card or check.
Document account information concisely and accurately and scan documents into patient accounts.
Check the billing system for prior outstanding balances, explain them to patients, and assist with payment plans for prior patient activity balances.
Assist the Admissions team by obtaining pertinent information and arranging for admission documentation to be signed as needed.
Participate in continuing education, in-services, and other training for professional growth.
Perform other duties assigned to support Malvern Health’s vision and values.