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Columbia Basin Health Association · 6 hours ago

Patient Benefits Specialist

Othello, WA

Full-time

Onsite

New Grad, Entry Level

$18.28/hr - $21.48/hr

Columbia Basin Health Association (CBHA) is committed to promoting health and wellness within the community. The Patient Benefits Specialist will educate and enroll community members in various health coverage options while ensuring accurate documentation and communication of patient benefits.

DentalHealth CareMedical

Responsibilities

Responsible for Promoting and Educating patients on the various health coverage options available in clinic and during outreach events

Informs patients of plan requirements to determine eligibility and enrolling patients in the various insurance options available, such as Labor of Industries, the Affordable Care Plan (ACP), Medicaid/Medicare and The Market Place

Completes all required fields of initial health coverage application according to health plan requirements and submits the application prior to the end of the patient’s visit

Processes renewal applications as directed by Director of Health Connections and provides monthly report of outcomes

Responsible for general patient benefit duties

Complete appropriate forms to switch Plans and/or Primary Care Provider for patients to ensure assignment to a CBHA provider

Documents patient encounters in patient management system daily to ensure data accuracy, track patient activity and enrollment history

Answers telephone inquiries pertaining to patient benefits; provides response or researches information and responds back to caller within three (3) hours or next business day

Processes weekly self-pay encounter reports to ensure patients are offered appropriate benefit plan options

Performs audits to catch errors or discrepancies as assigned by Director of Health Connections on ACP applications

Other duties as assigned

Promotes a positive work culture and upholds clinic policies and procedures, including the WE CARE standards of Behavior

Must uphold confidentiality at all times in regards to CBHA activities, reports, financials, patient health information and other proprietary information specific to CBHA

Qualification

Navigator CertificationHealth care plans knowledgeBilingual (English/Spanish)Patient interviewingWritten communicationVerbal communication

Required

Responsible to actively participate in the promotion, education, and enrollment of community members into available benefit plans to help ensure healthy communities

Promoting and Educating patients on the various health coverage options available in clinic and during outreach events

Completes all required fields of initial health coverage application according to health plan requirements and submits the application prior to the end of the patient's visit

Processes renewal applications as directed by Director of Health Connections and provides monthly report of outcomes

Responsible for general patient benefit duties

Complete appropriate forms to switch Plans and/or Primary Care Provider for patients to ensure assignment to a CBHA provider

Documents patient encounters in patient management system daily to ensure data accuracy, track patient activity and enrollment history

Answers telephone inquiries pertaining to patient benefits; provides response or researches information and responds back to caller within three (3) hours or next business day

Processes weekly self-pay encounter reports to ensure patients are offered appropriate benefit plan options

Performs audits to catch errors or discrepancies as assigned by Director of Health Connections on ACP applications

Promotes a positive work culture and upholds clinic policies and procedures, including the WE CARE standards of Behavior

Must uphold confidentiality at all times in regards to CBHA activities, reports, financials, patient health information and other proprietary information specific to CBHA

Possesses a basic level of written and verbal communications skills, computational and computer skills and mathematical knowledge typically acquired through completion of a high school program

Ability to learn and understand the various health care plans available to patients (i.e., Labor and Industries, Affordable Care Plan (ACP), Medicaid/Medicare and The Market Place)

Ability to obtain and maintain Navigator Certification for the Washington State Healthcare Exchange

Ability to effectively communicate complex concepts in a clear effective manner for a general audience

Ability to effectively communicate information in written (including electronic) correspondence

Ability to provide effective communication of information during informal and formal verbal presentations

Ability to effectively interview and gather information from patients

Bilingual (read, write, speak) in English and Spanish