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Change Healthcare Remote Patient Benefit Advocate in Topeka, Kansas

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 , c ontacting discharged patients to complete accident screening , assisting Resolution Office with status and documents collection from the hospital , d ata Entry/Account Documentation in CHC Case Management System and m onitoring Hospital Census and ED Tracking Board for referrals .

Location: Remote

Schedule: 8 AM to 7 PM Sunday thru Wednesday

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

Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

COVID Mandate

As a federal contractor, Change Healthcare is adhering to the Executive Order which mandates vaccination. As such, we are requiring all U.S. new hires and employees to show proof of being fully vaccinated for COVID-19 or receive an approved accommodation by their date of hire, as a condition of employment.

As we continue to navigate the ever-changing COVID-19 pandemic, we remain committed to doing our part to ensure the health, safety, and well-being of our team members and our communities. Proof of vaccination or accommodations requests will be collected once an offer is accepted with Change Healthcare. All accommodation requests will be carefully considered but are not guaranteed to be approved.

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. To read more about employment discrimination protections under federal law, read EEO is the Law at https://www.eeoc.gov/employers/eeo-law-poster and the supplemental information at https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf.

If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to applyaccommodations@changehealthcare.com with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

Click here https://www.dol.gov/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf to view our pay transparency nondiscrimination policy.

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 (https://www.changehealthcare.com/privacy-notice/privacy-notice-to-california-job-applicants) .

Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Change Healthcare is an equal opportunity employer. All qualified applicant will reveive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status.

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