Patient Benefit Advisor

Granger Medical•Murray, UT

1d•Onsite

About The Position

Granger Medical Clinic has an immediate opening for a full-time Patient Benefit Advisor at our Taylorsville, UT headquarters as part of our Revenue Cycle team. This position will be verifying and obtaining insurance authorizations, assisting receptionists and providers with patient inquires. The Patient Benefit Advisor is also responsible for interviewing patients and families with financial issues, initiating and completing financial assistance applications, as appropriate. Obtains and records payments from patients/families.

Requirements

Experience working in healthcare as a patient account representative.
Experience in prior authorizations.
Working experience with the Microsoft Office Suite.
Ability to work with and call patients and outside agencies.
Ability to work in a team environment.
Excellent written and oral communication skill.
Can-do attitude and willingness to go the extra mile to help patients and the clinic achieve maximum reimbursement from coverage sources.

Responsibilities

Work independently with minimal supervision.
Receiving and resolving patient inquiries via a high volume of incoming telephone contacts and correspondence regarding a variety of billing issues. Collects any outstanding balances and updates all demographic and insurance information as needed.
Supports receptionists as needed in scheduling, check-in and managing PA system.
Researching all inquiries to resolution using various sources, including contacting insurance companies and other outside contacts.
Alerting management of any recurring billing trends and or issues encountered through patient contacts and when possible assists in developing solutions to said problems.
Interviewing patients and families with financial issues, initiating and completing financial assistance applications, as appropriate. Obtains and records payments from patients/families.
Verifying insurance eligibility utilizing available technologies, payor websites, or by phone contact with third party payors.
Processing and classifying bad debt for self-pay accounts, and reviews PCP and self-pay exceptions report and resolves issues.
Verifying and obtaining insurance authorizations and counsel applicable areas of any out of pocket expenses along with reports.
Establishing and maintaining a good working relationship with all external and internal contacts.
Exercising good judgment and can manage the expectations of all "customers" including patients and families, clinical staff, physician groups, and all external "customers".
Collaborating with clinical departments, providers, medical assistants, and co-workers to obtain information to insure accuracy of the patient record and the optimal processing of the patient's bill.
Monitoring patient accounts, preparing bills and ensuring providers are paid in a timely manner.