Bilingual Patient Benefits Representative

Description:

• Responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and copayments. Obtains pre-authorization of services. Obtains and maintains patient demographics.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the system.
• Performs insurance verification process on all third party payers. Obtains initial and subsequent pre-authorization for services and surgeries
• Re-Verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment. Ensures appropriate signatures are obtained on all necessary forms.
• Utilizes the summary of patient reimbursement and liability form and obtains appropriate approvals as required
• Performs financial counseling process on all patients prior to treatment.
• Documents financial counseling process and forwards to Billing Office
• Assist patients in obtaining financial assistance, outside assistance and all appropriate forms. *Experience Level:* Must Haves:
• 2+ years patient benefits experience - working knowledge education customers through EOB - demonstrate knowledge of CPT and HCPS coding - working knowledge of insurance coverage benefits - experience providing good customer service to patients
• Bilingual