Patient Health Benefits Counselor

Patient Health Benefits Counselor

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

This HBA/Financial Counselor position is 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. You will utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures. After the verification of benefits and authorization, HBA/FC populates price estimate tool to decide patient portion.

This role makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion. We ask that you act as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies.

In addition to bringing your whole self to the workplace each day, qualified candidates will need the following:

• 6 Months healthcare experience
• Knowledge of ICD and CPT coding
• Medical terminology with good customer service skills
• Preferred knowledge of registration and billing and credit scoring
• High School Diploma or GED required
• CPR Certification (as required by facility)

Physical Requirements - Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally)

Work From Home (In Colorado Springs Area 1 hour from CommonSpirit Hospital/facility.): Patient Financial Services Specialist CommonSpirit Health - Hybrid/Remote Opportunity!

This Monday-Friday, 9:00 AM - 5:30 PM (WFH) position which is critical to patient care.

Key responsibilities include: obtaining and explaining patient insurance benefits, creating/collecting estimates, and managing prior authorizations.

Required Qualifications:

• Proven experience with patient insurance benefits and procedural authorizations.
• Ideal for candidates with a background in patient registration or admissions!

Preferred: 2+ years' experience in patient finance. Comprehensive training and mentorship provided.

With more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.