Patient Health Benefits Counselor

Mountain Region SupportCentennial, CO
$19 - $32Remote

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.

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)

Nice To Haves

  • Preferred knowledge of registration and billing
  • Preferred knowledge of credit scoring

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 verification of 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.
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