Patient Benefit Coordinator

Patient Benefits Coordinator

Join our team at West Valley Family Health in Yakima, WA. Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.

We invite you to explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families!

Position Highlights:

• 1.0 FTE (40 hours per week)
• $18.75-$22.97/hour DOE
• Additional pay for your bilingual skills, paid on hours worked
• 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

What You'll Do:

• Responds to patient billing questions and assists patient with resolving any issues. Partners with the internal Billing department and the Medicaid Office as needed to resolve patient billing and insurance issues.
• Provides information to patients and clients on billing and payment practices.
• Provides information to patients regarding their individual bill including account activity and balance due.
• Reviews medical insurance options and eligibility requirements with clients including Managed Care plans and other special programs. Advises patients on how to utilize third party resources to secure necessary medical care.
• Assists clients with the application process for medical insurance coverage. Reviews eligibility requirements and obtains necessary information for the application. Files and tracks applications per guidelines, sending reports as needed.
• Educates clients on how to read and understand their medical insurance coverage. Assists clients with resolving any issues with their medical card or benefits covered by their card.
• Manages various work queues daily to ensure timely processing and completion of activities including insurance applications, discounts provided and Medicaid.
• Receives and assesses hardship and/or write-off requests. Prepares and submits adjustment requests as needed and forwards to the internal Billing department.
• Maintains current knowledge of any changes or updates regarding Managed Care programs, State Medicaid and/or Federal Medicaid.
• May perform Lead duties by acting as a liaison between line staff and the direct supervisor. Manages breaks, lunches, sick calls and overtime. Provides insights to leader regarding the skill level and performance of the employees. Responsible for providing training to new employees and existing staff when needed. Performs quality audits as directed.
• Perform other duties as assigned.

Qualifications:

• High School Diploma or General Education Diploma (GED).
• One year's experience with billing credit and/or patient benefits, preferably in a medical office (including Medical Front Office roles with a billing aspect).
• Affordable Care Act (ACA) Certification. Must pass the ACA exam within 90 days of employment.
• Experience in special programs such as State Managed Care plans preferred.
• Bilingual (English/Spanish) speaking skills required at level.
• This position is eligible for Bilingual Differential Compensation when an ALTA score of 9 is achieved.
• Ability to prioritize work and handle a variety of tasks simultaneously, with frequent interruptions.
• Ability to build effective relationships and interact with the patients, providers, and staff in a professional manner.
• Basic proficiency with a variety of computer programs including Electronic Medical Records, Word, and Excel.
• Basic knowledge of medical terminology and medical billing insurance desired.

Our Mission Statement

"Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being."

Our mission celebrates inclusivity. We are committed to equal-opportunity employment.