Patient Benefit Coordinator- PT

Job Details

Founded in 1972, Gateway Rehab has become a leader in drug & alcohol treatment in Western Pennsylvania. Our mission is to help all affected by addictive diseases to be healthy in mind, body and spirit. We strive to provide effective long-term treatment for addictive disease by offering a continuum of clinical practices, recovery support, education and research.

Gateway Rehab has a Part time Patient Benefit Coordinator at our inpatient facility in Aliquippa Center TWP.

Job Summary:      The Patient Benefit Coordinator position performs all the duties related to patient insurance benefit verification and financial counseling for all Gateway and Neil Kennedy Recovery Clinic patients.  The employee would be on site the first several months for training and then the position would be work from home after that.

 

Essential Functions:

 

  • Processes patient health insurance benefits, which include verifying, entering and coordinating the benefits according to guidelines set by various insurance companies.
  • Obtains drug and alcohol benefit information from different sources including the Internet and other more traditional providers.
  • Enters data of all insurance/benefits information according to specific guidelines set by various insurance companies.
  • Prioritizes benefit checks for all the satellite programs, LA Casa funding, Twerski funding, self-pay, EAP and YES. This includes documentation and verification of all the information.
  • Calculates all patient financial liabilities and discusses liability with appropriate patients prior to admissions or transfer to another level of care.
  • Collects prepayments in full or makes arrangements with patients for payment to Gateway that are mutually acceptable.
  • Maintains liability collection process after patient discharge, communicates and coordinates patient data with the billing specialist.
  • Runs daily reports to monitor patient admissions, transfers, and discharges to ensure liability discussion and payment arrangements.
  • Documents payment arrangements in the patient database and Excel spreadsheets.
  • Coordinates patient insurance information with Scheduling Specialists.
  • Monitors daily patient participation in treatment and daily collections of required liabilities.
  • Coordinates patient liability information with the administrative assistants, clinical managers and accounting department
  • Acts as a liaison between patients and the administrative assistant, Accounting staff and Program Directors when liability issues are present.
  • Provides input to management in relation to liability issues and problem resolution.
  • Communicates effectively with all Gateway staff and departments in response to requests for information.
  • Obtains current and complete information on all insurance contracts and Gateway liability guidelines. Insures accuracy in tracking changes,       additions, deletions and provides all related staff notification of current changes and updates.
  • Documents on line coordination of benefit procedures for the patients.
  • Accepts all money transactions for the Aliquippa location and coordinates applicable delivery and distribution to the accounting office.
  • Maintains Patient Benefit Coordinator procedure book.
  • Performs general clerical duties as needed.

 

Qualifying Education, Experience and Skill Requirements:

 

  • High school diploma or equivalent required.
  • Strong communication and organizational skills required.
  • Data entry skills required.
  • Computer literacy required.
  • Strong understanding of health care insurance/experience required.

 

Other Requirements/Information:

 

  • Consequences of errors are potentially serious and costly.
  • Nature of work demands sensitivity and respect for confidentiality.
  • PA Criminal History record check, FBI and Childine clearances required.

 

This is a brief summary of duties not intended to be inclusive and subject to change.

Compliance with all applicable licensing/accreditation bodies required.

Gateway Rehab proudly offers competitive wages and benefit packages, along with career advancement opportunities. Join us today!

 

 

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