*** Hiring Now Patient Benefit Coordinator I

Sarasota Memorial Health Care System; Sarasota (FL); On-site; USD 26,000 - 39,000; Full time

Benefits offered by this job

Paid Time Off

Tuition Reimbursement

Discounted Medical Plans

403b Retirement Savings

Free Parking

Job summary

Sarasota Memorial Health Care System in Florida seeks a Patient Benefit Coordinator (PBC) to help patients and families access financial resources and government assistance programs. You will explain insurance benefits, collect payments, and negotiate arrangements to secure financial clearance for admission and discharge.

In this role you will collaborate with billing, clinic teams, and external facilities, maintaining documentation for eligibility determinations and acting as an advocate for

Qualifications

• Two years of experience in the insurance industry required; a Bachelor's in Health Care Administration may substitute.
• Experience with Medicaid applications and public assistance preferred.
• Ability to communicate insurance benefits and eligibility to patients.

Responsibilities

• Assist patients and families in accessing financial resources and programs.
• Communicate and advise patients on insurance benefits and financial liability.
• Coordinate with billing, clinic departments and external agencies for eligibility determinations.
• Advocate for patients and secure financial clearance on admission and discharge.

Skills

Insurance experience

Independent decision making

Strong communication skills

Regulatory knowledge

Healthcare terminology

Organizational skills

Multi-tasking

Education

Bachelor's in Health Care Administration

Job description

Job Summary

Sarasota Memorial Health Care System is a non-profit hospital located in the beautiful city of Sarasota, Florida. From our upper floors, you can see the beautiful white sand beaches of Siesta Key, the #1 rated beach in the United States. Our health care system is rapidly growing. We have recently built an additional hospital in Venice, Florida, have added a new Cancer Institute on our Sarasota campus, and are planning a new hospital location in North Port, Florida. The positions we post are additions, not replacements. If you are looking for a place to call home, where people matter, we may be the right fit for you.

The Patient Benefit Coordinator (PBC) is responsible for assisting patients and/or families access financial resources, as well as, assist with various hospital, state or federal assistance programs, in addition to, communicating and advising patients on insurance benefits, Social Security/State Medicaid policy (Blue Book; DCF policy), creating procedure estimates, explaining financial liability, collecting payments and negotiating payment arrangements. The PBC will act as an advocate between billing department, clinic department, state and federal agency and will obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination. The PBC also communicates with outside facilities (i.e., Nursing homes), physician offices and other departments to ensure financial clearance has been secured on admitting and discharge.

Job Description

Department
Patient Access_Corp

The Patient Benefit Coordinator (PBC) is responsible for assisting patients and/or families access financial resources, as well as, assist with various hospital, state or federal assistance programs, in addition to, communicating and advising patients on insurance benefits, Social Security/State Medicaid policy (Blue Book; DCF policy), creating procedure estimates, explaining financial liability, collecting payments and negotiating payment arrangements. The PBC will act as an advocate between billing department, clinic department, state and federal agency and will obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination. The PBC also communicates with outside facilities (i.e., Nursing homes), physician offices and other departments to ensure financial clearance has been secured on admitting and discharge.

Required Qualifications

• Require two (2) years of experience in the insurance industry (private or government sponsored). A Bachelor’s degree in Health Care Administration will be considered in lieu of required experience.

Preferred Qualifications

• Prefer previous experience with filing Public Assistance Applications (i.e. Medicaid) and /or with DCF.
• Prefer interviewing and/or collections experience.
• Prefer demonstrated ability to make independent decisions and handle multiple tasks simultaneously.
• Prefer demonstrated communication skills and ability to handle difficult situations.
• Prefer an understanding of current regulatory guidelines.
• Prefer demonstrated knowledge of healthcare terminology.
• Prefer superior organizational skills and attention to detail; ability to prioritize multiple tasks and meet frequent deadlines
• Prefer demonstrated ability to cultivate partnerships and positive relationships with other providers and community participants

Mandatory Education

HS EQ: High School Diploma, GED or Certificate

Pay Range $19.10/hr. to $28.60/hr.

Preferred License And Certs

CHAA: Certified Health Access Assoc

Reputation. Community. Impact. Growth.

Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here.

Sarasota Memorial Hospital was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10! Not only that, but SMH was also designated at a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals. Our system has also earned Magnet® recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County.

• Highest 5-Star rating from Medicare for quality and safety
• Straight "A's" for Patient Safety
• SMH is also listed among U.S. News “Best Hospitals for Maternity” for 2021-2022; the only hospital in the region to make the list.
• One of the nations 100 Top Hospitals, 40 Top Teaching Hospitals and 50 Top Cardiovascular Hospital
• Listed among U.S. News' 50 Best Hospitals for Rehabilitation Services and Specialized Urology Care, 2022 - 2023
• Forbes' Best Employers for Women
• Named among the Worlds Best Hospitals by Newsweek, 2019-2022

The Benefits Of Being The Best

Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights:

Total Rewards Package

• Paid Time Off (start earning PTO on day one of employment)
• Tuition Reimbursement
• Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
• Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
• Life Insurance
• Disability Insurance
• Retirement Savings Plan: 403b
• Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
• Bereavement Leave
• Free Parking
• On Campus Dining w/ a 10% discount
• Credit Union w/ teller machines on campus
• Direct Deposit
• Free Wellness Screening
• Free confidential counseling services
• Employee Discount Programs
• Recognition Programs
• Referral Programs
• Tremendous growth opportunities for hard workers!

Employment Screening Requirements

As part of Sarasota Memorial Health Care System’s commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. https://info.flclearinghouse.com/