Patient Access Liaison I

Philadelphia, PA, United States

Job Details

Level

Entry

Job Location

MTC-Philadelphia - Philadelphia, PA

Remote Type

N/A

Position Type

Full Time

Education Level

High School

Salary Range

$18.00 - $20.00

Travel Percentage

None

Job Shift

Day

Job Category

Health Care

Description

Malvern Treatment Centers is currently seeking a full-time Patient Access Liaison for our brand new inpatient units located in South Philadelphia The Patient Access Liaison is a full-time opportunity working Monday through Friday during our day shift hours. This position offers a competitive hourly rate as well as a comprehensive benefits package.

Position Summary: An experienced healthcare professional who will research/verify, patient healthcare coverage, benefits. As well as, payer requirements for reimbursement. This person will pull coverage and benefits information from EVS, NaviNet and Other Insurance Portals, and when necessary call the insurance company to confirm the most current Active/Inactive coverage and benefit details. Also, when applicable confirm authorizations requirements and any other specific requirements for reimbursement. They will discuss with patients their insurance coverage and benefit details and collect any Out of Pocket (OOP/patient responsibility/Coinsurances/Deductibles). Enter coverage, benefits and authorizations requirement detail into the Patient/Computer system and update the Billing, Utilization Management, and Financial departments on the reimbursement/coverage details.

Summary of Essential Position Functions:

Extensive time of communication via phone with patients/responsible parties, Insurance providers and/or managed care companies

Maintain strict confidentiality of patient and call center related business

Accurate data entry of insurance/benefit and payer requirement information into computer system

Provides excellent customer service to patients and families

Verifies insurance benefits to make sure plan is active and has no termination date showing in the immediate future, as well as verifies any financial obligations such as deductibles, co-insurance, and co-pays that the patient would be responsible for.

Communicates with supervisor on admissions that need payment plans for admissions.

Explains the insurance benefits and out of pocket costs associated with treatment. Educates patient and their family in regard to financial obligations from the Insurance Benefit Plan that the patient has (Coinsurance/Deductibles). Collects necessary payment and gets financial paperwork signed by payer.

Maintain clear communication with patients as well as insurance companies and other inhouse departments

Calculate cash estimates on the patients Out of Pocket (OOP/patient responsibility/Coinsurances/Deductibles).

Upfront collections of the patients' Out of Pocket (OOP/patient responsibility/Coinsurances/Deductibles).

Concisely, and accurately document all information on the account and scan documents into the patients' account.

If patient is a prior patient, checks billing system for prior balances. Explains prior balances to patient and works the patient on payment plan for prior patient activity balances.

Assist with pre-certification/ authorizations

As needed, answer phone for incoming calls, make outgoing calls to assist the Call Center

Participates in continuing education (in- services & other trainings) to reach professional growth.

Perform other duties as assigned to support Malvern Institutes vision and values

Supervisory Responsibilities: Not Applicable

Benefits

This position is a full time, benefit eligible position. Benefits offered include, but not limited to: Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Paid Time Off

401K plan with company match

Qualifications

Qualifications: To perform this position successfully, an individual must be able to perform each essential duty satisfactorily. This position requires individuals that are client focused; team oriented; great interpersonal and communication skills; flexible to sudden changes in workload, emergency or staffing; dependable; problem solving skills; focused on compliance and performance quality. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience: High school diploma or equivalent required, bachelor's degree preferred. Knowledge of addictive diseases preferred. Healthcare, Admissions, Insurance experience a plus.

Technical/Computer Skills: MS Office, billing software, telephone, and other office equipment.

Work Environment and Hazards: No hazardous conditions. Weather protected.

Physical Requirements: Sedentary work - lifting 10 lbs. maximum and occasionally lifting and/or carrying such articles as patient charts, binders, letters, and small tools. Involves sitting and a certain amount of walking and standing occasionally to carry out job duties. Communication is required. Talking, expressing or exchanging ideas by means of the spoken word, and hearing, perceiving the nature of sounds by the ear, is required.

Travel Required: Minimal

*Malvern Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.*