Patient Benefits Specialist
Lowell Community Health Center
Patient Benefits Specialist
Lowell Community Health Center
Community health center delivering primary care
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The Patient Benefits Specialist is responsible for verifying and collecting accurate and timely insurance information for patients. Will interact with the patient via telephone to finalize and document information regarding insurance coverage. Additionally, will educate and inform patients about their responsibilities including copays, coordination of benefits and the enrollment process. Works closely with Registration, Health Benefits and Patient Accounts to ensure all required information is gathered accordingly.
MAJOR RESPONSIBILITIES
Accurately performs all functions related to insurance eligibility by calling and interviewing patients, verifying eligibility and providing information on next steps
Enter and/or update all insurance information collected into the EClinical Works in a timely manner and with a high degree of accuracy.
Navigate through multiple systems to input and retrieve eligibility information, asses and notate eligibility information pertinent to patient appointments
Contact patients whose insurances are inactive with advance notice to gather insurance information
Provide information about health insurance and financial assistance program options including sliding fee scale.
Verify effective date and benefit information including primary care provider site, co-pays, and outstanding balances.
Work closely with the Registration and Health Benefits department to act upon and resolve any issues involving patient’s who are uninsured or underinsured.
Address eligibility alerts and electronic actions as corrections to patient accounts
Provide patients with courteous, friendly, fast and efficient service s.
Maintains current knowledge of Registration and Health Benefits processes and system changes
Act as an administrative resource to the health center when problems or questions with eligibility arise.
Track, compile data and prepare reports on a monthly basis
Where needed, provide cross –coverage and back-up staffing support to other functions of the Patient Service Center, including Registration and Health Benefits
Bilingual in English and Khmer required.
High school diploma or equivalent, minimum of three year’s experience in a customer service related position, preferably in a health care setting. Knowledge of Health Care system and Insurance Eligibility is a plus. Working knowledge of Excel and compiling reports preferred. Data entry, computer and phone skills are required. Experience working with diverse communities and understanding of multi-cultural beliefs, practices and cultures is a plus.
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. Must be able to work independently and be a team player; possess good written and verbal communication skills as well interpersonal skills. Must be detail oriented and have the ability to multi-task. Must have Excellent Customer Service skills.
Lowell Community Health Center is an Equal Opportunity Employer. We are proud not only of being one of Lowell's largest primary care providers, but of our history serving the community. For over 40 years, Lowell Community Health Center has been offering quality, caring, and culturally appropriate health care services to the people of Greater Lowell, Massachusetts.
Community health center delivering primary care
Lowell Community Health Center provides primary care and related health services to about 50,000 residents of Greater Lowell, with OB-GYN, behavioral health, pharmacy, eye care, dental, lab and radiology through a partner hospital, all housed in one renovated facility. It treats patients regardless of ability to pay, funding 76% of its income from insurance reimbursements and fees, with the rest from grants and gifts. More than 90% of patients are low income and 46% speak a language other than English, and the center aims to reduce health disparities and improve well-being through culturally competent care. Its differentiators are offering comprehensive, integrated services under one roof without denying care due to financial barriers and a long-standing presence in the community.
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