Benefits Advisor

Description

The benefits advisor is responsible for advising patients and/or guarantors of their benefits, financial

Responsibilities And Secures Payments Of Patient’s Liabilities.

Responsibilities include but are not limited too.

• Customer Service
• Determines patient’s insurance benefits and eligibility requirements.
• Determines patient’s precertification requirements.
• Explains insurance benefit information to patients.
• Provides patients with an estimated liability amount due.
• Explains how financial responsibility was determined.
• Explains payment options for estimated patient liability.
• Secures payment of estimated patient liability.
• Follows internal cash control procedures when securing payment(s) of estimated patient liability.
• Assists patients with establishing payment arrangements.
• Visits all in-house self-paid patients, evaluates their eligibility for Medicaid or other indigent programs.
• Visits all in-house patients with an estimated patient liability to explain insurance benefit information and estimated patient liability.
• Follow up with patients if registration information collected at the time of hospitalization was incomplete.
• Enters updated patient demographic and insurance information in the computer system.
• Enter pertinent notes into the collection notes of the registration system. If the patient’s account has final billed, enter the notes in the appropriate collection notes system.
• Works closely with outside agencies and/or vendors in assisting patients applying for Medicaid and/or State aid.
• Assists patients and consumers in applying for Health Insurance Marketplace insurance.
• Maintains a professional image and provides excellent customer service to patients and consumers.
• Attends department meetings, education sessions and hospital specific training programs.
• Meets/exceeds performance expectations within required timeframes.
• Practices and adheres to the “Code of Conduct” philosophy and Mission and Value statement of the Hospital.
• Supports special projects and business analysis as requested.
• Adheres to all HSC/Hospital Policies and Procedures
  
  

LRMC is fully accredited by The Joint Commission. We offer a full range of healthcare services in a modern and well-equipped facility. Our services include a 24/7 Emergency Department (Level 4 Trauma and ACC Accredited Chest Pain Center), ICU/CCU, Pediatric Unit, an award-winning Wound Care Center, Nutrition Counseling, Physical / Speech / Occupational Therapy, Inpatient Physical Rehab, Respiratory Therapy, Sleep Lab, Cath Lab, Interventional Radiology, Cardiac Rehab, Speech Therapy, Obstetrics, Pediatrics, Hospitalist Services, Pulmonology, Medical Oncology, Infusion Services, and ongoing community education. Surgical services include both inpatient & outpatient services in the specialties of general surgery, laparoscopic surgery, urology, GI / endoscopic, orthopedics, ophthalmology, GYN, Podiatry, and ENT. General Surgery and GYN Surgery are performed utilizing a recently added DaVinci X robot. LRMC has a full range of diagnostic imaging, including 3D Mammography, Fluoroscopy, MRI, PET, two 64-slice CT’s, Nuclear Medicine, Bone Densitometry, and Ultrasound. We believe in exceptionalism and achieving top performance in quality, safety, physician and employee relations, community involvement, financial and operational excellence.

At Logan Regional Medical Center, we recognize that our patients deserve qualified, engaged, and competent nurses. We know that our nurses deserve a working environment that is safe, leaders who are visible and supportive, and opportunities to grow and develop. We have a positive, hopeful, and resilient leadership team that is solely focused on taking care of the heart of the people who work here. If you feel that your skills and compassion fit with our vision for person-centered care and evidence-based practice, and you would like to belong to a hospital family that only the best are invited to join, we invite you to apply today!

Qualifications

Minimum Requirements

Education:

• High school diploma or GED required.
  
  

Licensure/Certification:

• The benefits advisor may need to be certified, if required, by the State Exchange Programs. To perform health insurance marketplace counseling appropriate state and/or federal certification is required.
  
  

Experience:

• 3 or more years of recent experience in a healthcare setting.
• Preferred: Experience in handling medical benefits in a hospital or clinical setting.
• Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
  
  

Minimum Salary: $14.4

Maximum Salary: $21.6