Patient Benefits Specialist

BASIC FUNCTION:

Ensures maximum utilization of alternate resources and other cost avoidance practices for the Contract Health Services Program. Maintains related file and ensures confidentiality according to the Privacy Act of 1974.  Reports directly to Patient Benefits Coordinator.

GENERAL RESPONSIBILITIES:

1. Assess patient financial needs for payment of health and health related services.  Informs and educates patients on use of alternate resources in accordance with the Federal Register August 4, 1978 Subpart C. Contract Health Services.
   


2. Interview patients to pre-screen eligibility for government health insurance programs.
   


3. Provide assistance/instruction to patients in application for alternate resources. (i.e. Veteran’s benefits, Medicaid, Medicare, Crippled Children’s Fund, United Way)
   


4. Provide assistance in following up on all pending eligibility or change in primary provider in alternate resource cases.
   


5. Maintain open and effective communication with third party resources and governmental agencies as necessary to satisfactorily perform job duties.
   


6. Process and maintain alternate resource applications and share with appropriate staff.
   


7. Provide back up for Patient Registration.
   


8. Attend all mandatory staff meetings and in-services.
   


9. Follow all policies of SNHD.
   


10. Ensure confidentiality of information according to Privacy Act of 1974.
    


11. Maintain a neat and orderly work area.
    


12. Perform other duties as assigned.
    


13. Work to promote cooperative staff efforts to provide and maintain high quality service to patients, physicians, and other staff to assure quality patient care.

QUALIFICATIONS:

High school graduate or Equivalent with at least two years experience in a medical or social services setting. Must be knowledgeable in health insurance, applications, medical terminology, and public relations. Experience using computer systems and word processing software and organizational skills are necessary. Good communication skills, both oral and written, are essential.