Patient Benefit Advisor I - Patient Business Services

Health First Careers•Rockledge, FL

About The Position

The Patient Benefit Advisor I provides a comprehensive, accurate, and timely review of medical benefit information to patients during inpatient hospitalization. The role includes presenting service estimates and collecting patient responsibility when applicable. The advisor reviews and explains insurance benefits professionally and compassionately, obtains patient and family information, and recommends financial assistance programs when appropriate. The position also processes referrals, updates account information across systems, maintains quality and productivity standards, and complies with applicable state and federal laws.

Requirements

High school graduate or equivalent.
Six months of customer service experience.
Working knowledge of Microsoft Office, including Outlook, Word, and Excel.
Ability to work autonomously with minimal supervision.
Foundational critical-thinking skills.
Strong communication skills and professional presence.
Ability to maintain composure in a stressful work environment.
Excellent communication and interpersonal skills.
Ability to prioritize and organize work to maximize quality, value, and service.
Ability to adapt to a potentially rapidly changing environment or work process.
Excellent teamwork and collaboration skills.

Nice To Haves

Associate degree or higher in a related area.
One or more years of customer service experience.
Knowledge of medical benefit terminology.
Strong critical-thinking skills.
Experience working in multiple computer systems simultaneously.
Strong organizational skills.

Responsibilities

Review payer websites and applicable vendor systems to verify and analyze coverage and patient responsibility information.
Produce and review service estimates with patients according to department guidelines.
Obtain accurate information from patients and families in a pleasant and efficient manner.
Review and explain insurance benefits professionally and compassionately, and request and collect patient responsibility when applicable.
Meet established quality assurance and productivity benchmarks while following best practice standards.
Recommend available financial assistance programs when appropriate.
Process referrals within the department’s established timeframe.
Update accounts in all systems with accurate patient information using appropriate note codes.
Apply logic and common sense to identify issues related to work performed.
Ensure compliance with state and federal laws applicable to the role.