Patient Benefit Rep

TEKsystems•Annapolis, MD

2d•$18 - $22•Onsite

About The Position

ESSENTIAL RESPONSIBILITIES: -Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses. Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. Completes appropriate reimbursement and liability forms for patients review and signature. Forwards appropriate information and forms to billing office. -Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment. - Review patient account balance and notify front desk of patients to meet with -Ensure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately -At each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs). -Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs. -Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients records. -Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested. -Other duties as requested or assigned.

Requirements

High school diploma or equivalent required.
Minimum three (3) years patient pre-services coordinator or equivalent required.
Proficiency with computer systems and MicroSoft Office (Word and Excel) required.
Demonstrate knowledge of CPT coding and HCPS coding application.
Must be able to verbally communicate clearly and utilize the appropriate and correct terminology.
Must successfully complete required e-learning courses within 90 days of occupying position.

Responsibilities

Obtains insurance coverage information and demographics
Educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses
Assess patients ability to meet expenses and discusses payment arrangements
Educates patients on financial assistance programs
Completes Patient Cost Estimate form
Completes appropriate reimbursement and liability forms
Forwards appropriate information and forms to billing office
Obtaining insurance pre-authorization or referral approval codes
Review patient account balance and notify front desk of patients to meet with
Ensure that patient co-pay amount is correctly entered into system
Verifies and updates demographics and insurance coverage in computer system
Stays current on available financial aide
Maintains updated manuals, logs, forms, and documentation
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients records