Patient Benefit Coordinator-Relief

Toppenish Medical-Dental Clinic; Toppenish (WA); On-site; USD 26,000 - 32,000; Part time

Job summary

Toppenish Medical-Dental Clinic in Toppenish, WA is seeking a Relief Patient Benefits Coordinator to support patient billing and insurance processes.

You will respond to billing questions, guide patients through eligibility and applications for medical coverage, coordinate with Medicaid and the Billing department, and help clients read and understand their benefits. This part-time, non-exempt role offers bilingual pay adjustments for English/Spanish skills.

Qualifications

• High School Diploma or GED required.
• One year's experience with billing credit and/or patient benefits, preferably in a medical office.
• ACA Certification; must pass ACA exam within 90 days of employment.
• Experience with State Managed Care plans preferred.
• Bilingual differential compensation available with ALTA score of 9.

Responsibilities

• Respond to patient billing questions and assist with resolving issues; coordinate with Billing and Medicaid offices.
• Provide information to patients on billing and payment practices.
• Explain patient bills, balances due, and account activity.
• Review insurance options and eligibility; advise on third-party resources to obtain care.
• Assist clients with medical insurance applications and document required information.
• Educate clients on reading and understanding their coverage; help resolve issues with medical cards or benefits.
• Manage daily work queues to ensure timely processing of insurance applications and discounts.
• May perform lead duties and provide training as needed.

Skills

Bilingual English/Spanish

Task prioritization

Medical terminology

Basic EMR knowledge

Education

High School Diploma or GED

ACA Certification

Tools

EMR

Word

Excel

Job description

Position Title:

Patient Benefit Coordinator-Relief

City:

Toppenish

State/Territory:

US-WA

Employment Duration:

Part time

Offer Relocation:

No

Excempt Status:

Non-exempt

ID:

17378

Description:

Join our team as a Relief Patient Benefits Coordinator at Toppenish Medical-Dental Clinic in Toppenish, WA!

Be part of a healthcare organization that believes in making a difference beyond medical care! We've transformed into a leading community health center in the Pacific Northwest with 40+ clinics across Washington and Oregon. We offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.

We invite you to explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families!

Position Highlights:

• $18.75-$22.97/hour DOE with the ability to go higher for highly experienced candidates
• Additional pay for your bilingual skills, paid on hours worked

What You’ll Do:

• Responds to patient billing questions and assists patient with resolving any issues. Partners with the internal Billing department and the Medicaid Office as needed to resolve patient billing and insurance issues.
• Provides information to patients and clients on billing and payment practices.
• Provides information to patients regarding their individual bill including account activity and balance due.
• Reviews medical insurance options and eligibility requirements with clients including Managed Care plans and other special programs. Advises patients on how to utilize third party resources to secure necessary medical care.
• Assists clients with the application process for medical insurance coverage. Reviews eligibility requirements and obtains necessary information for the application. Files and tracks applications per guidelines, sending reports as needed.
• Educates clients on how to read and understand their medical insurance coverage. Assists clients with resolving any issues with their medical card or benefits covered by their card.
• Manages various work queues daily to ensure timely processing and completion of activities including insurance applications, discounts provided and Medicaid.
• Receives and assesses hardship and/or write-off requests. Prepares and submits adjustment requests as needed and forwards to the internal Billing department.
• Maintains current knowledge of any changes or updates regarding Managed Care programs, State Medicaid and/or Federal Medicaid.
• May perform Lead duties by acting as a liaison between line staff and the direct supervisor. Manages breaks, lunches, sick calls and overtime. Provides insights to leader regarding the skill level and performance of the employees. Responsible for providing training to new employees and existing staff when needed. Performs quality audits as directed.
• Perform other duties as assigned

Qualifications:

• High School Diploma or General Education Diploma (GED)
• One year's experience with billing credit and/or patient benefits, preferably in a medical office (including Medical Front Office roles with a billing aspect)
• Affordable Care Act (ACA) Certification. Must pass the ACA exam within 90 days of employment
• Experience in special programs such as State Managed Care plans preferred
• This position is eligible for Bilingual Differential Compensation when an ALTA score of 9 is achieved
• Bilingual (English/Spanish) speaking skills required at level 9
• Ability to prioritize work and handle a variety of tasks simultaneously, with frequent interruptions
• Ability to build effective relationships and interact with the patients, providers and staff in a professional manner
• Basic proficiency with a variety of computer programs including Electronic Medical Records, Word and Excel
• Basic knowledge of medical terminology and medical billing insurance desired

Our Mission Statement

“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”

Our mission celebrates inclusivity. We are committed to equal-opportunity employment.

Visit our website at www.yvfwc.com to learn more about our organization!

Equal employment opportunity, including veterans and individuals with disabilities.

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