Patient Benefits Specialist

Role Overview

• Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services
• Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided
• Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
• Creates documentation required to service the patient per policy and payer guidelines
• Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines
• Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements
• Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service

Requirements

• High School Diploma with 2 years of experience in patient registration or revenue cycle management
• 1 year of similar experience with an Associate’s Degree, LPN or Pharm Tech license
• Basic level skill in Microsoft Excel
• Basic level skill in Microsoft Word
• LPN, RD or Pharm Tech licensure and/or experience
• Previous Infusion Medical Billing/Collections or Intake/Admissions Experience

Benefits

• Medical, Dental, & Vision Insurance
• Paid Time off
• Bonding Time Off
• 401K Retirement Savings Plan with Company Match
• HSA Company Match
• Flexible Spending Accounts
• Tuition Reimbursement
• myFlexPay
• Family Support
• Mental Health Services
• Company Paid Life Insurance
• Award/Recognition Programs