Patient Health Benefits Counselor

CommonSpirit Health•Centennial, CO

15d•Remote

About The Position

Where You’ll Work At CommonSpirit Mountain Region, we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. CommonSpirit Mountain Region’s Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics, and people – including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day. Job Summary and Responsibilities You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. 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. Utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures. After verification of benefits and authorization, populates price estimate tool to decide patient portion. Makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion. Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. Must demonstrate accurate documentation electronically on account information and updates in a timely manner. Screens self-pay patients to make the determination of eligibility for CICP (as applicable), Charity programs, or payment arrangements. Interacts with the Victims Compensation representative through the District Attorney's office and CBO for payment of patient bills. Obtains pre-certification and benefits from insurance companies for the admission or expected admission of a patient to comply with the rules and regulations of the patient's insurance carrier. Acts as hospital liaison between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration. Must maintain patient/employee confidentiality. Schedule: Monday - Friday 8:00am - 4:30pm (training) then 9:30am - 6:00pm This position is 100% remote. Must live in either Utah or Colorado.

Requirements

6 Months healthcare experience
Knowledge of ICD and CPT coding
Medical terminology with good customer service skills
High School Diploma or GED required
CPR Certification (as required by facility)
Physical Requirements - Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)

Nice To Haves

Preferred knowledge of registration and billing and credit scoring

Responsibilities

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.
Utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures.
After verification of benefits and authorization, populates price estimate tool to decide patient portion.
Makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion.
Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.
Must demonstrate accurate documentation electronically on account information and updates in a timely manner.
Screens self-pay patients to make the determination of eligibility for CICP (as applicable), Charity programs, or payment arrangements.
Interacts with the Victims Compensation representative through the District Attorney's office and CBO for payment of patient bills.
Obtains pre-certification and benefits from insurance companies for the admission or expected admission of a patient to comply with the rules and regulations of the patient's insurance carrier.
Acts as hospital liaison between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration.
Must maintain patient/employee confidentiality.