Patient Health Benefits Counselor at CommonSpirit Health Mountain Region

Lehi, Utah, United States -

Full Time

Start Date

Immediate

Expiry Date

28 Jan, 26

Salary

27.23

Posted On

30 Oct, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Healthcare Experience, ICD Coding, CPT Coding, Medical Terminology, Customer Service, Registration, Billing, Credit Scoring

Industry

Hospitals and Health Care

Description

Welcome to CommonSpirit Health Mountain Region CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve. CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way. Overview You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. Accountable for making decisions supported by policy based on confidential financial information both from the facility and from patients to determine qualification for CICP (as applicable), Charity programs, or payment arrangements. Utilizes scheduling and registration information to verify coverage and authorization for all scheduled procedures. After verification of benefits and authorization, populates price estimate tool to decide patient portion. Makes calls to patients, doctor's offices, and hospital departments to gather sufficient information to obtain authorization and benefits Collection of patient portion. Acts as a liaison between the patients, physicians, patient clinics, case management, centralized billing office, third party Medicaid eligibility vendor and community agencies. Must demonstrate accurate documentation electronically on account information and updates in a timely manner. Screens self-pay patients to make the determination of eligibility for CICP (as applicable), Charity programs, or payment arrangements. Interacts with the Victims Compensation representative through the District Attorney's office and CBO for payment of patient bills. Obtains pre-certification and benefits from insurance companies for the admission or expected admission of a patient to comply with the rules and regulations of the patient's insurance carrier. Acts as hospital liaison between insurance companies, case managers, central business office, third party Medicaid eligibility vendor and registration. Must maintain patient/employee confidentiality. This position is 100% remote. Qualifications In addition to bringing your whole self to the workplace each day, qualified candidates will need the following: 6 Months healthcare experience Knowledge of ICD and CPT coding Medical terminology with good customer service skills Preferred knowledge of registration and billing and credit scoring High School Diploma or GED required CPR Certification (as required by facility) Physical Requirements - Sedentary work -(prolonged periods of sitting and exert up to 10lbs force occasionally) Your Connected Community At CommonSpirit Mountain Region, we believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. CommonSpirit Mountain Region’s Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics, and people – including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day. Our Total Reward Offerings Be sure to consider our generous benefits as part of your overall compensation! Designed with your well-being in mind, our benefits include: Medical Dental Vision 401K with generous match Daycare FSA that can include a company contribution Tuition Reimbursement Student Loan Forgiveness and more! View more on our benefits HERE. Pay Range $18.00-$27.23 /hour

Responsibilities

The Patient Health Benefits Counselor is responsible for determining patient eligibility for financial assistance programs and verifying insurance coverage for scheduled procedures. They act as a liaison between patients, healthcare providers, and insurance companies to ensure proper documentation and authorization.