Patient Benefits Advisor 2, Full Time

The Patient Benefits Advisor 2 ensures that patients have adequate insurance coverage for services received and advises patients when there are any gaps in coverage so that appropriate payment arrangements can be made.

CORE JOB FUNCTIONS:

• Greets every individual on the phone or in person with a smile and a warm, professional greeting.

• Coordinates with appropriate scheduling department to schedule patient appointments when prior authorizations have not been obtained or have been denied.

• Assists departments with inquiries into the status of accounts, pre-certification, eligibility, financial estimates and department policies and procedures.

• Ensures all patient information is secure and all paperwork disposed of appropriately to preserve confidentiality.

• Ensures that prior authorizations are obtained and fully documented prior to the receipt of services. Contacts physician offices to obtain missing patient information.

• Utilizes patient estimate tools and insurance company contacts to obtain accurate out-of-pocket estimates, documents these estimates, and generates estimate letters.

• Updates patient accounts as necessary with correct insurance information.

• Submits insurance referral documentation in a timely fashion.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS                                                                                                         

• High School diploma

• Minimum 2 years of relevant experience

Knowledge, Skills, and Attitudes:

• Strong customer service skills

• Strong written and verbal communication skills

• Highly detail-oriented and organized

• Excellent interpersonal skills

• Knowledge of medical terminology

This is a core job profile description and is not reflective of all duties that may be assigned to a specific position in each individual department. The above statements are intended to describe the general nature and primary responsibilities of this core job profile. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job.