Patient Resource Consultant

Chicagofamilyhealth; Chicago (IL); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health Insurance

Retirement plan

Paid time off

11 Holidays and 18 days PTO

Job summary

Chicagofamilyhealth is seeking a Patient Resource Consultant (PRC) to interview patients, verify insurance benefits, and perform financial case management for uninsured and underinsured individuals. You will coordinate coverage through public and private programs and educate patients on options and CFHC services.

You will also connect patients with transportation, translation, and other enabling services while collaborating with internal and external stakeholders in a fast-paced health care

Qualifications

• Assocaite degree or 3 years of relevant experience required.
• Certified Application Counselor license within 3 months of hire.
• Senior Health Insurance Plan counselor certification within 3 months of hire.
• Spanish language ability may be required depending on department needs.

Responsibilities

• Conduct financial assessment interviews and screen patients for healthcare services.
• Verify insurance benefits and coordinate health insurance for reimbursement.
• Assist and perform financial case management for uninsured and underinsured patients.
• Educate patients on insurances, payment options, and CFHC services.
• Coordinate enabling services including transportation and translation.
• Engage with community organizations and vendors to build rapport.
• Participate in outreach activities and health fairs in the local community.
• Support patient engagement and refer to internal resources and services.
• Identify gaps in service use through patient discussions.

Skills

Interviewing patients

Insurance verification

Financial case management

Spanish bilingual (optional)

Education

Associate degree

3 years relevant experience

Job description

Description

Patient Resource Consultant

Compensation (Based on experience and qualifications)

Schedule: Monday - Friday 9:00am - 5:00pm with a Saturday Rotation 8:00am - 1:00pm

We are seeking a Patient Resource Consultant (PRC) to join our team. As a PRC, you will be responsible for interviewing, verifying insurance benefits, and performing financial case management for uninsured and underinsured patients. You will review, evaluate, and coordinate health insurance benefits available through public and private health care coverage programs for reimbursement. The ideal candidate will be passionate about helping patients understand insurances, payment options, and all the services/programs offered by our healthcare facility. You will work with internal and external stakeholders to provide enabling services to patients, including transportation and translation services.

Responsibilities

• Conduct financial assessment interviews and screen patients for healthcare services
• Verify insurance benefits and coordinate health insurance benefits available through public and private health care coverage programs for reimbursement
• Assist and perform financial case management for uninsured and underinsured patients
• Work with patients to ensure their understanding of insurances, payment options, and educating them on all CFHC’s services/programs offered
• Work with internal and external stakeholders to provide enabling services to patients, including transportation and translation services
• Utilize engagement strategies to build rapport with external community organizations and vendors.
• Participate in a variety of outreach/marketing activities and events in the local community, including health fairs, foodbanks, senior buildings, churches, legal aid, and any place where prospective patients may benefit from learning about CFHC services.
• Work closely with internal departments to support patient engagement and confirm the patient has been connected with necessary resources, SDOH assessments, referrals to internal services (care management/care coordination, WIC, IBCCP, Healthy Start), and referrals to external services.
• Identify gaps in use of services, such as physician access, through discussion with patients.

We offer a competitive salary and benefits package, including health insurance, retirement plan, and paid time off. If you are passionate about helping patients, we encourage you to apply for this exciting opportunity!

Chicago Family Health Centers offers benefits to all its full-time employees:

BCBS Medical PPO/HMO Plans| BCBS Dental |VSP Vision| Tuition Reimbursement up to $1,500 per year|11 Paid Holidays and 18 Days of Paid Time Off | 8 sick days

Chicago Family Health Center is an affirmative action/equal opportunity employer who is committed to cultivating diversity, equity and inclusion within all aspects of our organizations. We stand against and prohibit discrimination in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Requirements

Education and Experience

• A minimum of an Associates degree, or a minimum of three (3) of relevant experience required.
• Certified Application Counselor license required within three (3) months of hire.
• Senior Health Insurance Plan counselor certification required within three (3) months of hire.
• Bilingual ability (Spanish) may or may not be required based on individual department needs.

Knowledge/Skills/Abilities

• Demonstrated ability to collaborate effectively in a team setting.
• Ability to maintain effective and professional relationships with patients and other members of the care team.
• Knowledge in public and private health coverage programs and Illinois Insurance Exchange.
• Experience with Medicare, Medicaid, third-party insurance, copayments, etc.
• Experience in working with a diverse population base preferred.
• Ability to appropriately handle confrontation and conflict.
• Ability to work independently and to seek consultation as necessary.
• Ability to follow organization and departmental processes and procedures.
• Ability to work in a high stress/fast paced/high work volume environment.