Patient Benefit Representative

Description:The Patient Benefits Representative, under general supervision is responsible for educating patient on insurance coverage and benefits. Assess patients financial ability; may educate patient on assistance programs. Updates and maintains existing patient new insurance eligibility, coverage, and benefits in system. Supports and adheres to the Compliance Program, to include the Code of Ethics and Business Standards, and Shared Values.Prior to a patient receiving treatment; obtains insurance coverage information and demographics; educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses.Assess patients ability to meet expenses and discusses payment arrangements. May educate patients on financial assistance programs as well as identify sources and provide assistance with completing forms. Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form. Completes appropriate reimbursement and liability forms for patient’s review and signature. Forwards appropriate information and forms to billing office.Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.Review patient account balance and notify front desk of patients to meet withEnsure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriatelyAt each patient visit, verifies and updates demographics and insurance coverage in computer system according to Standard Operating Procedures (SOPs).Stays current on available financial aide. Develops professional relationships with financial aide providers. Networks with financial aide providers to obtain leads to other aide programs.Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patients records.Maintains updated manuals, logs, forms, and documentation. Performs additional duties as requested. Other duties as requested or assigned.Skills:explanation of benefits, EOB, medical terminology, patient benefits, Co-pay, Insurance, benefits administration, benefit verification, insurance eligibility, data extraction, medical record, insurance providersTop Skills Details:explanation of benefits,EOB,medical terminology,patient benefits,Co-pay,Insurance,benefits administration,benefit verificationAdditional Skills & Qualifications:-Minimum 2 years patient pre-services coordinator or equivalent required; 1 years of patient benefits experience-Must be familiar with eligibility, new insurances in the market, and how to explain out of pocket fees and deductiblesExperience Level:Expert LevelAbout TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.