Patient Health Benefits Counselor

Mountain Region Support • Centennial, CO

1d • Hybrid

About The Position

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
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.
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 utilizes 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 with good customer service skills
• High School Diploma or GED required
• CPR Certification (as required by facility)
• Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)
• Proven experience with patient insurance benefits and procedural authorizations.

Nice To Haves

• Preferred knowledge of registration and billing and credit scoring
• 2+ years' experience in patient finance

Responsibilities

• 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
• 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
• act as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies
• obtaining and explaining patient insurance benefits
• creating/collecting estimates
• managing prior authorizations

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED