Access Community Health Network
Bilingual Patient Benefits Specialist
Access Community Health Network, Chicago, Illinois, United States, 60290
We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive the organization forward, and recognize the positive impact they can bring to our communities.Position SummaryThe Patient Benefit Specialist (PBS) is responsible for working with patients to ensure their understanding of insurance and payment options and to maximize ACCESS’ reimbursement. The Patient Benefits Specialist conducts a screening/intake process to assist in determining program/grant eligibility. The Patient Benefit Specialist role is important to the patient care team and in guiding the patient through the revenue cycle process.
Core Job ResponsibilitiesConduct benefit orientation and explain financial requirements to ensure full understanding of benefit program and patient responsibilities. Obtain all necessary forms, documents, and signatures as required.Conduct financial assessment interviews and screens patients for healthcare benefits/coverage and/or eligibility to participate in grants or other available programs; communicate/explain all options to patient/family.Verify whether or not the patient has existing third-party and/or other healthcare coverage to identify current coverage, identify possible gaps, and better explain coverage to patients.Assist patient/family with program enrollment, based on financial assessment/screening results and option selection.Enter and/or update information into EHR, relevant patient information on benefits coverage obtained from the benefits assessment and screening. Scan forms and other appropriate documents, ensuring 100% compliance.Maintain current knowledge of Medicare, Medicaid, Marketplace and private insurance, HMO, and Sliding Fee Scale rules and regulations.Assist patient with Medicaid applications and follow up yearly for redetermination.Communicate with providers, medical assistants, and other employees using a team-based approach to coordinate patient care.Work effectively as part of the health care team, and as an advocate for patients and their families.Assist patients with navigating the revenue cycle process, as appropriate.Uphold patient confidentiality and HIPAA standards at all times.Act in the best interest of patients at all times, providing direct support and guidance when possible. When this support is out of scope, provide a warm hand-off to the appropriate party.Defuse irate callers and patients by working with them to identify and properly address concerns.Perform other duties as assigned.
Requirements/PreferencesHigh School diploma or GED required.Minimum of two (2) years customer service experience required.Prior All-Kids and MPE experience preferred.Knowledge of current Medicare, Medicaid, Marketplace insurance programs, and HMO rules and regulations preferred.Knowledge of EHR and/or EPIC preferred.Intermediate proficiency in Microsoft Office products required.ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on the position applied/being recruited for, candidates may be required to be vaccinated against communicable diseases, and provide supporting documentation proving that they are properly vaccinated, or apply for religious and/or medical vaccination exemption as a part of the application process.
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Core Job ResponsibilitiesConduct benefit orientation and explain financial requirements to ensure full understanding of benefit program and patient responsibilities. Obtain all necessary forms, documents, and signatures as required.Conduct financial assessment interviews and screens patients for healthcare benefits/coverage and/or eligibility to participate in grants or other available programs; communicate/explain all options to patient/family.Verify whether or not the patient has existing third-party and/or other healthcare coverage to identify current coverage, identify possible gaps, and better explain coverage to patients.Assist patient/family with program enrollment, based on financial assessment/screening results and option selection.Enter and/or update information into EHR, relevant patient information on benefits coverage obtained from the benefits assessment and screening. Scan forms and other appropriate documents, ensuring 100% compliance.Maintain current knowledge of Medicare, Medicaid, Marketplace and private insurance, HMO, and Sliding Fee Scale rules and regulations.Assist patient with Medicaid applications and follow up yearly for redetermination.Communicate with providers, medical assistants, and other employees using a team-based approach to coordinate patient care.Work effectively as part of the health care team, and as an advocate for patients and their families.Assist patients with navigating the revenue cycle process, as appropriate.Uphold patient confidentiality and HIPAA standards at all times.Act in the best interest of patients at all times, providing direct support and guidance when possible. When this support is out of scope, provide a warm hand-off to the appropriate party.Defuse irate callers and patients by working with them to identify and properly address concerns.Perform other duties as assigned.
Requirements/PreferencesHigh School diploma or GED required.Minimum of two (2) years customer service experience required.Prior All-Kids and MPE experience preferred.Knowledge of current Medicare, Medicaid, Marketplace insurance programs, and HMO rules and regulations preferred.Knowledge of EHR and/or EPIC preferred.Intermediate proficiency in Microsoft Office products required.ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on the position applied/being recruited for, candidates may be required to be vaccinated against communicable diseases, and provide supporting documentation proving that they are properly vaccinated, or apply for religious and/or medical vaccination exemption as a part of the application process.
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