Patient Liaison

Med-Metrix, LLC; Philadelphia (Philadelphia County); Presencial; USD 36.000 - 48.000; Jornada completa

Descripción de la vacante

Med-Metrix, LLC is seeking a Patient Liaison to work onsite with hospital patients, screening for WC/NF insurance and gathering necessary information. You will review insurance data, verify contact details, and document actions daily to support case resolution.

The role requires bilingual Spanish skills, strong communication, and proficient use of Microsoft Office. You will operate in a HIPAA-compliant environment with a focus on accuracy and efficiency.

Formación

• High School Diploma or equivalent is required.
• Spanish bilingual (spoken and written) required.
• Proficiency in Microsoft Office Suite.
• Experience in healthcare or insurance plans is a plus.
• Strong investigative and researching skills.

Responsabilidades

• Contact patients and screen for WC/NF insurance on cases referred by client hospital, either over the phone or in person.
• Review and validate insurance information.
• Research and verify patient contact information using search engines and hospital systems and annotate hospital system with daily notes.
• Research and resolve pending WC/NF issues.
• Update internal database with all work completed on accounts and communicate actions to the Supervisor.
• Use, protect and disclose patients’ PHI only in accordance with HIPAA standards.

Conocimientos

Bilingual Spanish

Interpersonal skills

Written and verbal communication

Problem solving

Research and investigative

HIPAA/PHI handling

Microsoft Office Suite

Educación

High School Diploma or equivalent

Herramientas

Microsoft Office Suite

Descripción del empleo

Job Purpose

The Patient Liaison works to obtain WC/NF information from patients in the hospital. They assist with both in-house and discharged patients. The Patient Liaison works onsite in a designated area assigned by the client to meet with and gather information from patients.

Duties and Responsibilities

• Contact patients and screen for WC/NF insurance on cases referred by client hospital, either over the phone or in person
• Review and validate insurance information
• Research and verify patient contact information using search engines and hospital computer systems and annotate hospital system with daily notes
• Research and resolve pending WC/NF issues
• Retrieve information from hospital databases
• Verify insurance coverage by using various websites or by calling insurance companies
• Update internal database with all work that is completed on accounts (actions taken to communicate with patients, code account)
• Obtain and send mail and correspondence to Supervisor
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• High School Diploma or equivalent is required
• Experience in the field of healthcare or insurance plans is a plus
• Fully bilingual in Spanish (spoken and written skills) required
• Ability to use the internet and learn databases
• Strong investigatory and researching skills
• Strict adherence to the policies and protocols of the client while conducting themselves professionally at all times
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required

Working Conditions

• Ability to work onsite at client location
• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds)
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
• Work Environment: Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens,hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.