Patient Benefits Advisor 2, Full Time

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The Patient Benefits Advisor 2 ensures that patients have adequate insurance coverage for services received and advises patients when there are any gaps in coverage so that appropriate payment arrangements can be made.

• Greets every individual on the phone or in person with a smile and a warm, professional greeting.

• Coordinates with appropriate scheduling department to schedule patient appointments when prior authorizations have not been obtained or have been denied.

• Assists departments with inquiries into the status of accounts, pre-certification, eligibility, financial estimates and department policies and procedures.

• Ensures all patient information is secure and all paperwork disposed of appropriately to preserve confidentiality.

• Ensures that prior authorizations are obtained and fully documented prior to the receipt of services. Contacts physician offices to obtain missing patient information.

• Utilizes patient estimate tools and insurance company contacts to obtain accurate out-of-pocket estimates, documents these estimates, and generates estimate letters.

• Updates patient accounts as necessary with correct insurance information.

• Submits insurance referral documentation in a timely fashion.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

• High School diploma

• Minimum 2 years of relevant experience

• Strong customer service skills

• Strong written and verbal communication skills

• Highly detail-oriented and organized

• Excellent interpersonal skills

• Knowledge of medical terminology