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Primary Health Care, Inc (PHC) · 1 day ago

Bilingual Patient Benefits Specialist II - Marshalltown

Marshalltown, IA

Full-time

Onsite

Entry, Mid Level

$18.65/hr - $23.35/hr

2+ years exp

Primary Health Care, Inc (PHC) is dedicated to providing quality healthcare services, and they are seeking a Bilingual Patient Benefits Specialist II to enhance patient experiences within their medical and dental clinics. This role involves conducting financial screenings, assisting with insurance enrollment, addressing billing questions, and collaborating with clinic staff to ensure effective patient support.

Health CareHospitalMedical

Responsibilities

Ensures a consistent revenue cycle process in medical and dental clinics by reviewing patient schedules to identify patients with upcoming appointments who need assessment for financial assistance, other available benefits, or payment plans

Completes phone outreach to patients with past balances, expired insurance plans, needed documents for income verification or uninsured to screen and determine appropriate next steps for patients

Meets with patients as needed to help them apply for Medicaid (including Hawk-I), Marketplace coverage, or other insurance programs. Conducts outreach and enrollment activities including annual Marketplace enrollment events. May provide assistance at various locations, including PHC clinics, community agencies

Helps patients apply for the sliding fee program

Maintains patient financial assistance files including electronic notes in registration and/or financial note files

Completes necessary back-billing for applicable patients when insurance is identified or approved after the visit

Answers patients’ questions related to billing statements and collaborates with the billing department to support patients in resolving issues related to medical and/or dental bills

Verifies and follows-up on patient credits and/or refunds that are identified through patient question or account verification processes

Completes monthly laboratory and radiology billing

Communicates with patients about anticipated cost of visit, if applicable. Creates and distributes good faith estimate letters in accordance with the No Surprises Act and upon patient request

Monitors and reports on payer mix for their assigned clinic and works with Clinic Director to address unfavourable payer mix changes

Provides ongoing support and coverage to the Patient Access Representative role

Performs other duties as assigned

Qualification

Bilingual communicationHealthcare experienceCustomer service skillsMicrosoft Office proficiencyGoogle Suite proficiencyProblem-solving skillsBasic math skillsDependabilityWritten instructions understandingProfessionalismDetail orientedTeam orientedTime management skillsInterpersonal skillsInitiativeOrganizational skillsCritical thinking skills

Required

High school diploma or equivalent

Two years of experience in healthcare, human services, or social services; or three years in customer service

Effective verbal and written English communication skills

Effective verbal and written Spanish communication skills

Professionalism and excellent customer service skills

Detail oriented with a high degree of accuracy

Problem-solving and critical thinking skills

Takes initiative and is dependable

Team oriented with the ability to work collaboratively

Basic math skills

Ability to understand and follow written instructions

Proficiency using Microsoft Office and Google Suite computer applications

Ability to learn and effectively use the electronic health record system

Organization, prioritization, and time management skills

Strong interpersonal skills with ability to establish and maintain effective working relationships with a diverse group of individuals

Completion of Presumptive Eligibility training and training completion award documentation are required within the introductory period of the position and must be maintained throughout employment thereafter

Licenses & Certifications: Certified Application Counselor (CAC) certification is required within 12 months of starting in position