Bilingual Patient Benefits Navigator II

Primary-Health-Care,-Inc.; Des Moines (IA); On-site; USD 39,000 - 49,000; Full time

Benefits offered by this job

Mileage reimbursement

Out of town travel bonus

Shift differential

401k with company match

Medical insurance

Dental insurance

Vision insurance

Job summary

Primary-Health-Care, Inc. is seeking a Patient Services Specialist II to ensure a positive, seamless experience for patients across PHC clinics. You will conduct financial screenings, assist with Medicaid/Marketplace enrollment, and support billing and financial assistance processes.

The role focuses on patient outreach, documentation, and collaboration with billing and clinic staff. It may require coverage at PHC clinics in Ames, Des Moines, and Marshalltown and travel reimbursement eligibility.

Qualifications

• High school diploma or equivalent.
• Two years of experience in healthcare, human services, or social services; or three years in customer service.
• Effective verbal and written English communication skills.
• Effective verbal and written Spanish communication skills.
• Professionalism and excellent customer service skills.
• Detail oriented with a high degree of accuracy.
• Problem-solving and critical thinking skills.
• Takes initiative and is dependable.
• Team oriented with the ability to work collaboratively.
• Basic math skills.
• Ability to understand and follow written instructions.
• Proficiency using Microsoft Office and Google Suite computer applications.
• Ability to learn and effectively use the electronic health record system.
• Organization, prioritization, and time management skills.
• Strong interpersonal skills with ability to establish and maintain effective working relationships with a diverse group of individuals.
• Completion of Presumptive Eligibility training and training completion award documentation are required within the introductory period.
• Licenses & Certifications: CAC certification required within 12 months of starting.

Responsibilities

• Ensures a consistent revenue cycle process by reviewing patient schedules for financial assistance or payment plans.
• Completes outreach to patients with past balances or uninsured to screen and determine next steps.
• Meets with patients to apply for Medicaid or Marketplace coverage and attends enrollment events.
• Helps patients apply for the sliding fee program.
• Maintains patient financial assistance files including electronic notes.
• Completes back-billing when insurance is identified or approved.
• Answers billing questions and collaborates with the billing department.
• Verifies and follows up on patient credits and refunds.
• Completes monthly laboratory and radiology billing.
• Communicates anticipated costs and creates good faith estimate letters under No Surprises Act.
• Monitors payer mix and reports to address unfavourable changes.
• Provides ongoing support to the Patient Access Representative role.
• Performs other duties as assigned.

Skills

Verbal English

Written English

Spanish proficiency

Customer service

Attention to detail

Problem solving

Teamwork

Education

High School diploma

Tools

Microsoft Office

Google Suite

Electronic Health Record (EHR)

Job description

Primary-Health-Care, Inc. is seeking a Patient Services Specialist II to ensure a positive, seamless experience for patients across PHC clinics. You will conduct financial screenings, assist with Medicaid/Marketplace enrollment, and support billing and financial assistance processes.

The role focuses on patient outreach, documentation, and collaboration with billing and clinic staff. It may require coverage at PHC clinics in Ames, Des Moines, and Marshalltown and travel reimbursement eligibility.