Patient Access Liaison II

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 in Philadelphia, Pennsylvania. The role is within the Finance department and reports through that department. The Patient Access Liaison II researches and verifies patient healthcare coverage, benefits, and payer reimbursement requirements. The position involves frequent communication with patients and responsible parties, insurance providers, and managed care companies, as well as collaboration with Admissions, Utilization Management, and Patient Accounting. The liaison verifies insurance benefits and coverage status, obtains current benefit and authorization information, explains patient financial responsibilities, and collects estimated out-of-pocket balances. The role also includes accurate data entry and documentation in the billing system, scanning documents to patient accounts, checking prior balances, assisting with payment plans, and supporting the Admissions team with pertinent information and admission documentation. The position requires maintaining patient confidentiality and providing excellent customer service. The role offers a competitive salary and comprehensive benefits.

Requirements

High school diploma or equivalent required.
Client-focused and team-oriented approach.
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 use MS Office, billing software, telephones, and other office equipment.
Ability to perform sedentary work, lift up to 10 pounds, and occasionally sit, walk, and stand to carry out job duties.
Ability to communicate by speaking 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 patient healthcare coverage, benefits, and payer requirements for reimbursement.
Use insurance portals, including Promise (EVS), NaviNet, Availity, and PEAR, to verify insurance information.
Contact insurance companies to obtain current benefit details, authorization information, and claim-submission requirements.
Discuss insurance coverage and benefit details with patients and responsible parties, including deductibles, co-insurance, co-pays, coverage limits, and estimated out-of-pocket responsibilities.
Request and accept upfront estimated-balance payments by credit card or check.
Verify that insurance plans are active and do not show an imminent termination date.
Communicate with the supervisor about admissions that may need payment plans.
Accurately enter insurance, benefit, and payer-requirement information into the computer system and billing system.
Document account information and scan verification documents into patients’ accounts.
Check the billing system for prior outstanding balances, explain balances to patients, and assist in arranging payment plans for prior patient activity balances.
Assist the Admissions team by obtaining pertinent information and securing admission documentation signatures as needed.
Maintain strict confidentiality of patient information in accordance with HIPAA guidelines.
Provide excellent customer service to patients and families.
Participate in continuing education, in-services, and other training to support professional growth.
Perform other duties assigned in support of Malvern Health’s vision and values.