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CommonSpirit Health

Patient Health Benefits Counselor at CommonSpirit Health

CommonSpirit Health Remote - Lehi, UT

Job Description

Where Youll WorkAt CommonSpirit Mountain Region we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.CommonSpirit Mountain Regions Corporate Service Center is headquartered in Centennial CO where our corporate leaders and centralized teams support our hospitals clinics and people including marketing human resources employee benefits finance billing talent acquisition/development payor relations IT project management community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day.Job Summary and ResponsibilitiesYou have a purpose unique talents and NOW is the time to embrace it live it and put it to work. We value incredible people with incredible skills but your commitment to a greater cause is something we value even more.Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP (as applicable) Charity programs or payment arrangements. Utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures. After verification of benefits and authorization populates price estimate tool to decide patient portion. Makes calls to patients doctors offices and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion. Acts as a liaison between the patients physicians patient clinics case management centralized billing office third party Medicaid eligibility vendor and community agencies.Must demonstrate accurate documentation electronically on account information and updates in a timely manner.Screens self-pay patients to make the determination of eligibility for CICP (as applicable) Charity programs or payment arrangements.Interacts with the Victims Compensation representative through the District Attorneys office and CBO for payment of patient bills.Obtains pre-certification and benefits from insurance companies for the admission or expected admission of a patient to comply with the rules and regulations of the patients insurance carrier.Acts as hospital liaison between insurance companies case managers central business office third party Medicaid eligibility vendor and registration.Must maintain patient/employee confidentiality.Schedule: Monday - Friday 8:00am - 4:30pm (training) then 8:30am - 5:00pmThis position is 100% remote.Job RequirementsIn addition to bringing your whole self to the workplace each day qualified candidates will need the following: 6 Months healthcare experienceKnowledge of ICD and CPT coding Medical terminology with good customer service skills Preferred knowledge of registration and billing and credit scoringHigh School Diploma or GED requiredPhysical Requirements -Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally) Key Skills Sales Experience,Microsoft Office,Customer Service,Communication skills,Microsoft Outlook,Microsoft Word,Business Management,Benefits Administration,Microsoft Excel,Insurance Sales,Customer relationship management,Human Resources Employment Type : Unclear Experience: years Vacancy: 1

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