Patient Benefit Coordinator Technician

Tuba City Regional Health Care Corporation•Tuba City, AZ

5d•Hybrid

About The Position

The primary purpose of this position is to perform a major segment of the accounts receivable management function to the Patient Accounts sections of the Medicare and Marketplace Sponsorship Program with Patient Benefit Coordination Department. This position requires the ability to work under conditions of frequent interruptions, be autonomous, collaborative and willingness to work a flexible schedule. Ensures applicable federal, state, local and organizational privacy laws and regulations are followed with issues related to Health information, confidentiality, release of information and patient rights. Works closely with Medicare Part D/ Marketplace enrollee.

Requirements

High School graduate or GED
Experience working with various automated systems and Microsoft applications.
Must have (1) one year of experience working in an office environment.
A record of satisfactory performance in all prior and current employment as evidenced by positive employment references from previous and current employers. All employment references must address and indicate success in each one of the following areas: Positive working relationships with others; works effectively in team relationships
Possession of high ethical standards and no history of complaints
Reliable and dependable; reports to work as scheduled without excessive absences
Strong organizational skills
Ability to operate under immense pressure
Good oral and written skills and computer literacy for online enrollment assistance
Must be fluent and highly proficient in speaking the Navajo language
Must have and maintain an unrestricted current valid state driver’s license
Completion of and, above-satisfactory scores on all job interviews, demonstrating to the satisfaction of the interviewees and TCRHCC that the applicant can perform the essential functions of the job
Successful completion of and positive results from all background and reference checks, including positive employment references from authorized representatives of past and current employers demonstrating to the satisfaction of TCRHCC a record of satisfactory performance and that the applicant can perform the essential functions of the job
Successful completion of fingerprint clearance requirements, physical examinations, and other screenings indicating that the applicant is qualified to be employed by TCRHCC and demonstrating to the satisfaction of TCRHCC that the applicant can perform the essential functions of the job
Submission of all required employment-related documents, applications, resumes, references, and other required information free of false, misleading, or incomplete information, as determined by TCRHCC.

Nice To Haves

Work is mostly sedentary, must be able to continuously sit, stand, walk, drive, bend, twist, maintain balance, and reach as well as frequently kneel and crouch. The work may require the ability to frequently carry items such as books, papers, and related documents or files weighing up to 10 lbs. and occasionally push/pull up to 10 lbs. of items. Must be able to continuously perform simple grasping, firm grasping, and fine manipulation of both hands as well as use the keyboard. Sensory requirement for position includes far vision, near vision, color vision, depth perception, seeing fine details, hearing normal speech, hearing overhead pages and telephone use.
Must be able to prioritize and use good judgment; and be able to coordinate a variety of issues with intermittent interruptions. Must have ability to continuously cope with high levels of stress, make decisions under high pressure, cope with anger, fear, hostility of others in a calm way, concentrate, handle high degree of flexibility, work alone, demonstrate high degree of patience, adapt to shift work, and work in areas that are close and crowded. Must also have the ability to manage altercations frequently. Must accept a flexible schedule to meet unit needs.
While in this position you may continuously be exposed to infectious diseases and occasionally to extremes in temperature or humidity and loud noises.

Responsibilities

Assists with data entry functions related to program functions
Assists with calls and communication efforts in regard to Sponsorship program.
Responsible for the accurate maintenance of a centralized file system for patient benefit coordinator files in the business office. Maintain the central file system in an alpha sequence by patient name in a readily retrievable fashion.
Responsible for the creation of patient financial file folders to be utilized in the business office for maintaining all financial information pertinent to each patient encounter or admission.
Controls receipt of registration documents, explanation of benefits copies for placement in the patient benefit folder. Places materials into appropriate patient benefit folder.
Pulls and distributes patient benefit folders to the appropriate personnel.
Locates patient financial folder needed to respond to correspondence received by Medicare Part D/Marketplace mailings and distributes to the appropriate staff.
Handles the re-filing of all patient financial folders in the master file system.
Copies and files remittance advice copies for government and state programs in patient financial folders.
Handles all incoming mail and its distribution as well as all outgoing departmental mail.
Assist Medicare Part D enrollee with MOU/PHI from incoming client/s and explain purpose of MOU/PHI in Navajo if client/s are not able to speak or understand English.
Conduct home visits for MOU/PHI signatures for client/s who are not able to travel.
Ensure proper PPE is always worn while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.
Complete all donning and doffing tasks in a safe acceptable method and discard of used PPE accordingly. (see CDC website for most current updates)
Complete task training for all routine cleaning and decontamination processes for all surfaces contaminated by a communicable disease to ensure a high level of patient, visitor, employee and external customer satisfaction.
Performs other duties as assigned.