Patient Health Benefits Counselor

Mountain Region Support•Centennial, CO

7d•$19 - $32•Remote

About The Position

This HBA/Financial Counselor position is accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP (as applicable), Charity programs, or payment arrangements. You will utilize scheduling and registration information to verify coverage and authorization for all scheduled procedures. After the verification of benefits and authorization, HBA/FC populates price estimate tool to decide patient portion. This role makes calls to patients, doctor’s offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion. We ask that you act as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. This Monday-Friday, 9:00 AM - 5:30 PM (WFH) position which is critical to patient care. Key responsibilities include: obtaining and explaining patient insurance benefits, creating/collecting estimates, and managing prior authorizations.

Requirements

6 Months healthcare experience
Knowledge of ICD and CPT coding
Medical terminology
Good customer service skills
High School Diploma or GED required
CPR Certification (as required by facility)
Proven experience with patient insurance benefits and procedural authorizations.

Nice To Haves

Preferred knowledge of registration and billing and credit scoring
Ideal for candidates with a background in patient registration or admissions!
2+ years' experience in patient finance.

Responsibilities

Determine qualification for CICP, Charity programs, or payment arrangements based on confidential financial information.
Verify coverage and authorization for all scheduled procedures using scheduling and registration information.
Populate price estimate tool to determine patient portion after verifying benefits and authorization.
Make calls to patients, doctor’s offices, and hospital departments to gather information for authorization and benefits.
Collect patient portion of payments.
Act as a liaison between patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor, and community agencies.
Obtain and explain patient insurance benefits.
Create and collect estimates.
Manage prior authorizations.