Health Benefits Advisor - Hospital Setting

Summary

Title:Health Benefits Advisor - Hospital Setting

ID:0716-Open2

Department Location:Multiple locations

Category:Administrative / Clerical / Skill Trades

Description

Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 22 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 81,500 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Flagler, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC).

Compensation (Pay): $21.63 to $31.36/hourly, based on experience.

Summary of Benefits:

• Medical, Dental, Vision, Life, STD, LTD

• 403(b) Retirement with Company Match

• Paid Time Off

• Tuition Assistance

• Perks Rewards

• Employee Assistance Program

https://www.peakvista.org/resources/benefits-summary

Job Summary: The Health Benefits Advisor performs enrollment and clerical duties associated with Enrollment and scheduling patients for services at Peak Vista Community Health Centers. Responsible for providing excellent, compassionate, and empathetic customer service to patients.

Essential Duties and Responsibilities:

• Acknowledge and greet patients in their room with a friendly and welcoming manner.

• Communicates with patients to understand their insurance needs and provides personalized recommendations.

• Communicate and collaborate effectively with professional hospital personnel with the goal of positive patient outcomes.

• Provides education about the services we offer through clear and effective communication.

• Analytical skills with basic level understanding of excel.

• Determining and processing private insurance, Medicaid, CHP+, and other state programs.

• Verifying all health insurances on the Webportal and scheduling patients who currently have insurance.

• Responsible for data entry into practice management systems.

• Provides guidance and support to patients throughout the enrollment process.

• Consistently schedule follow-up appointments for patients within the Practice Management (PM) system.

• Document and review patient information within the Practice Management (PM) system.

• This is an onsite position that requires the employee to report onsite to the appropriate hospital daily.

• Within the approved scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment. Must be comfortable in a hospital/ER setting.

• Effectively manage your time across multiple patients and a variety of tasks to ensure consistent productivity.

• Promotes and demonstrates the mission, vision, and Core Values of Peak Vista.

• Develops and maintains good working relationships with all departments, the management team, medical staff, and leadership.

• Embraces cultural diversity amongst ourselves and our community.

• Responsible for the human, financial, and material resources as well as data and information entrusted to us.

• Strives to deliver the best outcomes and highest quality service.

• Demonstrates knowledge of and adherence to the Compliance Plan and conflict of interest requirements.

• Enhances the effectiveness, efficiency and productivity of the department by contributing to, and participating in, departmental performance improves goals.

• Other duties as assigned.

  Supervision Exercised: None

  Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  Education/Experience:

  Education: High school diploma or equivalent education.

  Work Experience: 2-3 years of administrative experience required, preferably in a hospital or clinic setting.

  Computer Skills: Basic – ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; enter and correct data, modify a workbook, format a worksheet, and use printing functions; create a simple presentation in PowerPoint, run it, and print it.

  Certificates and Licenses: CPR Certification to be obtained within the first 90 days of employment.

  Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level One (1). See Exposure Control Plan for details. The noise level in the work environment is moderately loud.

  Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  The employee must occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is frequently required to sit. The employee is occasionally required to stand and walk. Must be able to walk 3-5 miles per shift. PLEASE READ:

  *Must have completed the following to be considered for this opportunity: Proof of 2 MMR vaccines or laboratory proof of immunity (Titers for MMR), Proof of 2 Varicella vaccines or laboratory proof of immunity (titer for Varicella), Tdap, Proof of completion of Hep B series and/or laboratory proof of immunity (titer for Hep B), COVID-19 vaccine series completion, Tuberculosis (TB) records required: T-spot, Quantiferon Gold or 2 step PPD within 12 months. *Successful candidates will complete pre-employment screening; which includes, but is not limited to a Criminal Background check to include an 11 panel drug screen. Peak Vista Community Health Centers is a drug and alcohol free workplace an an Equal Opportunity Employer.

  **PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com.