Patient Benefits Specialist I

Position Title: Patient Benefits Specialist

Department: Patient Financial Services

Reports To: Director of Patient Financial Services

Purpose of Position:

Serve as intake officer for patients, providing information regarding health insurance resources and serve as the liaison between patients/clients and multiple agencies to ensure optimum access to services necessary.

Uphold the organization’s vision, mission, and corporate values.  Demonstrate understanding of and compliance with organization’s policies, procedures, code of conduct and work rules.

Essential Functions:

• Greet and register new patients, obtain patient insurance information and interpret plan benefits. And answer questions regarding eligibilty and application process
• Work with eligilbility representatives on behalf of the patient to ensure benefits are established and monitor deadlines for enrollment
• Serve as a resource to hospital and clinic staff regarding health insurance programs and benefit eligibility
• Develop reports regarding outreach and education activities, expenditures, health insurance resources utilization, etc.
• Performs various administrative duties consistent with job responsibilities to include data entry, filing, archiving, scanning, etc.
• Perform other duties as assigned

Personal Traits:

All Norton Sound Health Corporation employees are expected to consistently demonstrate the organization’s values: integrity, cultural sensitivity and respect for traditional values, continual learning and improving, compassion, teamwork and pride.  Employees are expected to demonstrate integrity, professionalism, accountability, cooperation with and consideration of others.

Required Knowledge:

All Norton Sound Health Corporation employees are expected to have general knowledge of typical office technologies such as computers, printers, copiers, fax machines, and typical office software.

Job Specific knowledge is listed below:

• Knowledge of MCD and Medicare enrollment process, laws and regulations
• Knolwedge of State Public Assistance processes and eligilibity requirements

Required Skills and Abilities:

All Norton Sound Health Corporation employees are expected to have a broad range of skills and abilities centered around a strong patient focus, efficient performance, and teamwork.   All employees should have patient/customer service skills, interpersonal skills and good communication skills.   All employees should have the ability to manage their time and organize their work to ensure efficient performance.   In addition, all employees should have the ability to follow policy, procedure and instructions, actively communicate with their supervisors to ensure understanding and manage their work accordingly.  Finally, all employees should have the ability to understand and manage patient/customer confidentiality.

Job specific skills and abilities are listed below: 

• Above average customer service skills

Minimum Requirements

Physical Requirements:

∙Use hands and arms to operate office or clinical equipment

∙Sit more than half the workday

∙Stand and/or walk less than half the workday

∙Bend, stretch, twist, crouch and/or reach

∙View electronic monitors for prolonged periods of time

∙Use hands and arms for repetitive motion tasks consistently for more than one hour at a time

∙Lift or carry unaided less than 25 pounds

∙Push or pull using up to moderate force

Working Conditions:

∙Work is conducted in a standard office environment

∙Minimal travel is required (less than 25% of the time)

I attest that I do not have any physical, mental or medical impairment or disability that would limit my job performance.