Employer: Change Healthcare
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.
This position is responsible for maintaining the day-to-day workflow of medical claims related to accidents associated with motor vehicle 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. The Patient Benefit Advocate position is responsible for over the phone screening with the patient, contacting Auto Insurance Carriers to establish a claim and get eligibility, contacting discharged patients to complete accident screening, assisting Resolution Office with status and documents collection from the hospital, data Entry/Account Documentation in CHC Case Management System and monitoring Hospital Census and ED Tracking Board for referrals.
Location: Remote
Responsibilities:
- 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
What are the requirements needed for this position?
- 2-4 years experience in healthcare revenue cycle or similar area
- High School Diploma or equivalent, bachelor’s degree is 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
What other skills/experience would be helpful to have?
- Hospital registration/patient access experience preferred
- Property and Casualty (Auto Insurance, Workers’ Compensation) experience preferred
- Subrogation and Coordination of Benefits experience preferred
- EPIC
- Microsoft Office
What are the working conditions and physical requirements of this job?
- Heavy amount of viewing computer monitors
- Heavy amount of walking, sitting, and standing
- Large call volume (incoming and outbound) and waiting on hold
How much should I expect to travel?
- None
Diversity and 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.
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, we require all employees to disclose COVID-19 vaccination status prior to beginning employment and, when job-related and consistent with business necessity, we may require periodic testing for certain roles. Some roles require full COVID-19 vaccination as an essential job function. 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.
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.
About Us
Careers Transforming the Healthcare System
Who is Change Healthcare? We are a leading technology company inspiring a better healthcare system. Through innovative technology solutions like cutting-edge cloud technology, artificial intelligence, and data insights, we drive better patient outcomes, reduce costs, and create value for our partners.
Positive Impact and Shared Purpose. Through visionary leadership and a culture of collaboration, we share a common purpose to positively impact our communities by creating a stronger, better coordinated, increasingly collaborative, and more efficient healthcare system.
Employee Experience, Cultural Values, and Total Rewards. We celebrate diversity and earn trust with our employees by promoting innovation at every level within the organization. Our teams are agile, and their work is fast paced and engaging. We’re committed to providing competitive compensation that rewards and recognizes performance, offer well-being programs that empower your overall health, and provide learning and development opportunities to accelerate your professional growth.
Find Your Path. Whether you’re ready to make an impact in technology and product innovation or support our mission to inspire a better healthcare system in a variety of career areas, find your path and accelerate your career. What are you waiting for?