Patient Benefit Advisor

Dearborn, MI Full Time
POSTED ON 5/2/2024

Job Summary

Under general direction of the Patient Access Mangaer - Benefits Advisor, this position is responsible for assisting uninsured and underinsured patients and their families in researching and securing potential funding for services provided; including but not limited to Medicaid, Medicare SSI, and any other federal, state, Corewell Health based, grants, and local programs, marketplace, auto, and other 3rd party liability payers. Performs duties at acute hospital sites, and ambulatory sites. Utilizes knowledge of billing and payer rules to facilitate determination of potential resources and seamless processing of paperwork. Works with Corewell Health staff and other providers to recommend referral of patients to appropriate sites for care.

Essential Functions

  • Manages the process to ensure that all Benefit Advisors are educated and trained in identifying patients who are uninsured and underinsured. Offers alternatives and assists with application process for Medicaid, Health Michigan, Financial Assistance and Market Place exchange plans. Works with third party vendors on complex cases as directed by department policy.
  • Advises patients and/or family members of their financial obligation via all modes of communication, including face-to-face communication while in the facility.
  • Obtains payment in full or secures adequate payment arrangements/eligibility and benefit information for both inpatient and outpatient services. Advises patients on expenses associated with admission. Secures payments or payment arrangements on self-pay accounts. Discusses third party coverage with patient and arranges disposition of out of pocket balances due. Informs patients of payment requirements as soon as possible for inpatient preferably prior to discharge.
  • Advises patients as to their financial liability and assists with insurance issues and activation of coverage.
  • Administers collection program on international and cosmetic patients as directed per hospital policy to collect pre-payments.
  • Utilizes Charge Master, EPIC price estimator, and business tools to provide cost estimates for complex procedures, surgeries, and ancillary testing and ensures information is received from patients and physicians.
  • Provides superior customer service to the patient and family by assisting with completion of required paperwork and program applications, such as for Medicaid and the Corewell Health Charity and Financial Assistance Programs.
  • Serves as a resource to Patient Accounting staff, Social Workers, and other staff for identification of funding sources for health services for patients.
  • Explains and assists with all discount programs as they relate to the patient’s financial responsibility.
  • Communicates with other institutions relative to any prior patient service.
  • Attends hearings at the state and local level, as needed.
  • Assists with the discharge process to extended care facilities as it relates to the patient’s financial responsibility.
  • Identifies hospital, public, and / or private financial assistance programs for patients unable to meet their financial obligations. Collaborates with Social Services, clinical staff, and / or outsourcing company to assist patients / families in completing assistance program applications and determining eligibility and coverage. Inputs data into electronic database(s) and completes daily reports timely and accurately.
  • Documents all activities with patients, families, insurers, D.H.S. workers and providers regarding financial assistance needs.
  • Continually works with management in Business Operation Support to improve the efficiency of data collection as well as ALL customer satisfaction.
  • Provides departments with ongoing feedback to ensure compliance with third party payer regulations.
  • Interacts with other third-party vendors, and Case Management, Detroit Wayne County Health Authority, and D.H.S. workers to assure a timely, efficient and accurate financial case.
  • Attends department staff meetings and in-services to maintain current knowledge. Keeps up to date with all department standards to assure compliance with state and federal regulations. Responsible for training new employees and instructing current employees of process changes.
  • Special projects as assigned.

Qualifications

  • Required High School Diploma or equivalent
  • 2 years of relevant experience 2-3 years’ experience working with government entitlement programs (e.g., Medicaid) in a previous financial counseling or third-party billing role. Preferred
  • Previous Medicaid application processing experience highly desirable. Preferred
  • Six to ten years of patient accounting, medical billing, or non-clinical healthcare experience preferred. Knowledge of ICD-9 coding. Preferred
  • Experience working with the public. Required

    Physical Demands

    • Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs
    • Waist to Waist > 5 lbs: Seldom up to 10 lbs
    • Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
    • Waist to Overhead > 5 lbs: Seldom up to 10 lbs
    • Bilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Unilateral Carry > 5 lbs: Seldom up to 10 lbs
    • Pushing Force > 5 lbs: Seldom up to 10 lbs
    • Pulling Force > 5 lbs: Seldom up to 10 lbs
    • Sitting: Frequently
    • Standing: Occasionally
    • Walking: Occasionally
    • Forward Bend - Standing: Seldom
    • Forward Bend - Sitting: Occasionally
    • Trunk Rotation - Standing: Seldom
    • Trunk Rotation - Sitting: Occasionally
    • Squat: Seldom
    • Stair Climbing: Seldom
    • Reach - Above Shoulder: Seldom
    • Reach - at Shoulder or Below: Seldom
    • Handling: Occasionally
    • Forceful Grip > 5 lbs: Seldom
    • Forceful Pinch > 2 lbs: Seldom
    • Finger/Hand Dexterity: Frequently
    • Visual Acuity ¹
      [None = No; Seldom = Yes]: Seldom

    Primary Location

    SITE - Dearborn Hospital - 18101 Oakwood Blvd - Dearborn

    Department Name

    Financial Counseling

    Employment Type

    Full time

    Shift

    Day (United States of America)

    Weekly Scheduled Hours

    40

    Hours of Work

    Variable

    Days Worked

    Monday to Friday

    Weekend Frequency

    N/A

    CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

    Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

    Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

    An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

    You may request assistance in completing the application process by calling 616.486.7447.

    Salary.com Estimation for Patient Benefit Advisor in Dearborn, MI

    $40,716 - $49,965

    For Employer

    Looking to price a job for your company?

    Price This Job
    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    Sign up to receive alerts about other jobs that are on the Patient Benefit Advisor career path.

    Click the checkbox next to the jobs that you are interested in.

    Income Estimation: 
    $40,525 - $49,750
    Income Estimation: 
    $53,864 - $64,680
    Income Estimation: 
    $40,525 - $49,750
    Income Estimation: 
    $53,864 - $64,680
    Income Estimation: 
    $40,129 - $49,205
    Income Estimation: 
    $58,279 - $77,509

    Sign up to receive alerts about other jobs with skills like those required for the Patient Benefit Advisor.

    Click the checkbox next to the jobs that you are interested in.

    • Cash and Receipts Management Skill

      • Income Estimation: $25,025 - $30,840
      • Income Estimation: $27,119 - $34,673
    • Customer Care Skill

      • Income Estimation: $41,816 - $54,109
      • Income Estimation: $47,042 - $62,809
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Corewell Health

    Corewell Health
    Hired Organization Address Grand Rapids, MI Part Time
    About the unit The Cardiac Monitoring Center is located on the 4th floor of Blodgett Hospital. Central Monitor Technicia...
    Corewell Health
    Hired Organization Address Grand Rapids, MI Full Time
    $3,000 Sign On Bonus Available Provides clinical support to health care professionals to ensure the delivery of quality ...
    Corewell Health
    Hired Organization Address Grand Rapids, MI Part Time
    About Blodgett Hospital Set within a quiet, beautifully maintained property of mature trees and healing gardens. We have...
    Corewell Health
    Hired Organization Address Wayne, MI Part Time
    About the unit 3 Med Surg is a 25-bed unit which handles Bariatric patients/surgeries, medical patients, and any other s...

    Not the job you're looking for? Here are some other Patient Benefit Advisor jobs in the Dearborn, MI area that may be a better fit.

    Patient Care Coordinator

    Otto Bock Patient Care, LLC, Ferndale, MI

    Sales Assistant

    Professional Benefit Planner, Warren, MI