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Patient Benefit Advocate

Job ID R28397

Location Denver, Colorado

Date posted 11/18/2022

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Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

Patient Benefit Advocate

Work Location:

  • Denver. Colorado

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.

Schedule: 8 hours Shift - Tuesday-Saturday from 8 am to 4:30 pm MST

Core Responsibilities:

  • Face-to-Face screening with the patient at bedside 25%
  • Contacting Auto Insurance Carriers to establish claim and get eligibility25%
  • Contacting discharged patients to complete accident screening20%
  • Assisting Resolution Office with status and documents collection from the hospital10%
  • Data Entry / Account Documentation in CHC Case Management System10%
  • Monitoring Hospital Census and ED Tracking Board for referrals10%
  • 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

Requirements:

  • High School Diploma or Equivalent
  • 2-4 years’ experience in healthcare revenue cycle or similar area

Preferred Qualifications:

  • 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
  • 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
  • Bachelor’s degree preferred

Working Conditions/Physical Requirements:

  • Heavy amount of walking, sitting, and standing
  • Typing

Unique Benefits*:

  • Flexible work environments
  • Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
  • Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
  • Employee wellbeing programs and generous health plans
  • Educational assistance programs
  • US 401(k) or Group RRSP (Canada) savings plans with matching employer contributions
  • Be sure to ask our Talent Advisors for more information on location specific benefits and paid time off policies
  • Learn more at https://careers.changehealthcare.com
  • *Eligibility for some benefits may be limited or not available for part-time employees, be sure to speak with your Talent Advisor.

Colorado Residents Only:

The base pay range for Colorado residents is $16.64 - $30.69 plus any relevant incentive pay programs that may be aligned to the role. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your base pay, Change Healthcare offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental and vision plans; wellness program; health savings account; flexible spending accounts; 401(k) retirement plan; life insurance; short-term and long-term disability insurance; Employee Assistance Program; PTO; tuition reimbursement; and employee-paid critical illness and accident insurance.

Diversity, Equity & Inclusion:
•At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
•Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity

Feeling Inspired? Ready to #MakeAChange? Apply today!

COVID Vaccination Requirements

We remain committed to doing our part to ensure the health, safety and well-being of our team members and our communities. As such, some individuals may be required to disclose COVID-19 vaccination status prior to or during employment. Certain roles may require COVID-19 vaccination and/or testing as a condition of employment. Change Healthcare adheres to COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance.

Equal Opportunity/Affirmative Action Statement

Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information,  national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

California (US) Residents: By submitting an application to Change Healthcare for consideration of any employment opportunity, you acknowledge that you have read and understood Change Healthcare’s Privacy Notice to California Job Applicants Regarding the Collection of Personal Information.

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Applicant Data Privacy And Protection Notice

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