Job description

Overview of Position
This position is responsible for maintaining the day-to-day workflow of medical claims related to accidents associated with motor vehicle, general liability, and/or workers compensation, so as to determine available medical benefits and pursue payments on behalf of the facility, in accordance with the agreed upon business plan. The Patient Benefit Advocate position is responsible for Face-to-Face screening with the patient at bedside, contacting Auto Insurance Carriers to establish claim and get eligibility, contacting discharged patients to complete accident screening, assisting Resolution Office with status and documents collection from the hospital, data Entry / Account Documentation in CHC Case Management System and monitoring Hospital Census and ED Tracking Board for referrals.

Location: Onsite at Denver Health Medical Center in Denver, CO

Schedule: Wednesday -Saturday 9am -8pm (4x10)

Responsibilities

• Meet with and interview each patient who presents to the facility Emergency Department (ED) or inpatient areas due to injuries related to accidents associated with motor vehicles, general liability and/or workers compensation, during facility’s designated staffing hours
• Educate each patient on the different Auto Insurance coverage available and the Coordination of Benefits (COB) process for accident claims to assist with their medical bills from the accident
• Engage each patient in the Auto Insurance claims initiation process to ensure claims are processed in a timely manner
• Review facility’s report to identify patients who presented to the facility outside CHC’s designated staffing hours or registered outside the Emergency Department (ED) area
• Initiate outbound calls to discharged patients to complete accident interviews via telephone
• Create a patient file in the system for each patient visit and maintain the file accuracy
• Maintain proper account documentation in CHC’s Case Management System
• Investigate and confirm any medical coverages related to auto, general liability, and/or worker compensation insurance available to the patient, updating the patient file in the system
• Identify any patient attorney representation and confirm patient representation with the attorney office, recording the attorney information in the patient file in the system
• Communicate per CHC protocol with responsible insurance carriers and attorney offices to secure payment on behalf of the facility, always updating the patient file in the system
• Update patient accounts in any designated facility system(s), in accordance with the agreed upon business plan
• Process work daily for all Patient Counselor groups to ensure a consistent workflow for every patient file, to result in a reimbursement to the facility, in a timely manner
• Collaborate with facility employees in a professional and courteous manner
• Communicate any issues/concerns involving patient files or personnel to your direct supervisor

What are the requirements needed for this position?

• 2-4 years experience in healthcare revenue cycle or similar area
• High School Diploma or equivalent, bachelors degree is preferred
• Ability to work well in an independent setting with minimal supervision
• Ability to work collaboratively within a team
• Ability to communicate effectively with patients, hospital staff, adjusters and attorneys
• Strong customer service skills
• Assertive and proactive towards claims resolution
• Strong individual accountability and ownership
• Strong verbal and written communication skills
• General knowledge of Microsoft Office

What other skills/experience would be helpful to have?

• Hospital registration/patient access experience preferred
• Property and Casualty (Auto Insurance, Workers’ Compensation) experience preferred
• Health Insurance Appeals experience preferred
• Subrogation and Coordination of Benefits experience preferred

What are the working conditions and physical requirements of this job?

• Ability to sit onsite at client facility - Denver Health Medical Center
• Heavy amount of walking, sitting, and standing

Job Type: Full-time

Salary: $20.00 - $23.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Paid time off
• Paid training
• Referral program
• Vision insurance

Schedule:

• 10 hour shift
• 8 hour shift
• Day shift

COVID-19 considerations:
All employees must have Covid vaccination and wear masks on site.

Ability to commute/relocate:

• Denver, CO: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Are you available to work four 10 hour days, Tuesday - Saturday?

Education:

• High school or equivalent (Required)

Experience:

• healthcare revenue cycle or similar: 2 years (Required)
• Auto Insurance, Workers’ Compensation: 1 year (Preferred)
• Hospital registration/patient access: 1 year (Preferred)

Work Location: One location

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