Patient Financial Counselor & Benefits Advocate

Kaiser Permanente

Lafayette (CO)

On-site

USD 42,000 - 64,000

Full time

6 days ago

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Job summary

Kaiser Permanente in Colorado is seeking a Financial Counselor to provide personalized counseling to members, patients, and customers related to payors, coverage, and enrollment. The role involves researching complex billing issues, explaining plans, and helping with payment arrangements.

Ideal candidates have healthcare billing experience, strong customer service skills, and knowledge of government and commercial programs.

Qualifications

Minimum three (3) years of relevant experience in Health Care billing or health care collections required.
Experience with healthcare business information systems.

Responsibilities

Maintains understanding of Kaiser Permanente insurance products and answers questions from members regarding plans, benefits and enrollment processes.
Assist in research of complex billing issues and meet timeframes while ensuring high-quality work.
Convey estimates of member responsibility portion of billed cost and obtain missing information for deductibles, coinsurance, and copays.
Interviews and pre-registers patient to determine payer source and eligibility; explains coverage and patient liability.
Screen and inform members of healthcare financial assistance programs and assist with applications.
Determines ability to pay and initiates payment plans; refer to social services as appropriate.
Verifies pre-authorization and eligibility through government programs; confirms coverage and COB cases.