Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact.
As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.
Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.
If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare.
Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.
Empower Your Future. Make a Difference.
Title: Patient Benefit Advocate
Overview of Position
This position is responsible for maintaining the day-to-day workflow of medical claims, on-site at our partner hospitals, related to accidents associated with motor vehicle, general liability, and/or workers' compensation, so as to determine available medical benefits and pursue payments on behalf of the facility, in accordance with the agreed upon business plan. Additionally, the position is responsible for providing education and assistance with the claims' process to patients who have been the victims of an accident.
What will be my duties and responsibilities in this job?
Face-to-Face screening with the patient at bedside -25%
Contacting Auto Insurance Carriers to establish claim and get eligibility- 25%
Contacting discharged patients to complete accident screening- 20%
Assisting Resolution Office with status and documents collection from the hospital- 10%
Data Entry / Account Documentation in CHC Case Management System- 10%
Monitoring Hospital Census and ED Tracking Board for referrals- 10%
Meet with and interview each patient who presents to the facility Emergency Department (ED) or inpatient areas due to injuries related to accidents associated with motor vehicles, general liability and/or workers compensation, during facility's designated staffing hours
Educate each patient on the different Auto Insurance coverage available and the Coordination of Benefits (COB) process for accident claims to assist with their medical bills from the accident
Engage each patient in the Auto Insurance claims initiation process to ensure claims are processed in a timely manner
Review facility's report to identify patients who presented to the facility outside CHC's designated staffing hours or registered outside the Emergency Department (ED) area
Initiate outbound calls to discharged patients to complete accident interviews via telephone
Create a patient file in the system for each patient visit and maintain the file accuracy
Maintain proper account documentation in CHC's Case Management System
Investigate and confirm any medical coverages related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in the system
Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system
Communicate per CHC protocol with responsible insurance carriers and attorney offices to secure payment on behalf of the facility, always updating the patient file in the system
Update patient accounts in any designated facility system(s), in accordance with the agreed upon business plan
Process work daily for all Patient Counselor groups to ensure a consistent workflow for every patient file, to result in a reimbursement to the facility, in a timely manner
Collaborate with facility employees in a professional and courteous manner
Communicate any issues/concerns involving patient files or personnel to your direct supervisor
What are the requirements needed for this position?
2-4 years experience in healthcare revenue cycle or similar area
Hospital registration/patient access experience preferred
Property and Casualty (Auto Insurance, Workers' Compensation) experience preferred
Health Insurance Appeals experience preferred
Subrogation and Coordination of Benefits experience preferred
High School Diploma or equivalent; Bachelors degree preferred
What other skills/experience would be helpful to have?
Ability to work well in an independent setting with minimal supervision
Ability to work collaboratively within a team
Ability to communicate effectively with patients, hospital staff, adjusters and attorneys
Strong customer service skills
Assertive and proactive towards claims resolution
Strong individual accountability and ownership
Strong verbal and written communication skills
General knowledge of Microsoft Office
What are the working conditions and physical requirements of this job?
Office Environment-Fast-paced hospital and/or office environment
Physical requirements include general office demands
How much should I expect to travel? No Travel Required
Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!
Equal Opportunity/Affirmative Action Statement
Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.
If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to firstname.lastname@example.org with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.
Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.
Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.