Patient Benefit Advocate- Loyola

Change Healthcare Chicago , IL 60602

Posted 7 days ago

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%

RESPONSIBILITIES

  • 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 applyaccommodations@changehealthcare.com 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.

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Patient Benefit Advocate- Loyola

Change Healthcare