Job Summary: We are seeking a dedicated and detail-oriented individual to join our team as a Benefits Verifier/Patient Advocate at our Urgent Care Clinic. This role plays a crucial part in ensuring a seamless experience for our patients by verifying their insurance benefits, advocating for their needs, and facilitating communication between the clinic and insurance providers. The ideal candidate will have a strong understanding of insurance processes, excellent communication skills, and a commitment to patient advocacy.
Responsibilities:
1. Insurance Verification:
• Verify and confirm patients' insurance coverage prior to appointments and procedures.
Ensure accurate and up-to-date information regarding insurance plans and coverage details.
2. Patient Advocacy:
• Serve as a liaison between patients and insurance providers to address coverage inquiries and concerns.
Advocate for patients in navigating insurance processes and understanding their benefits.
3. Communication:
• Communicate effectively with patients to explain insurance coverage, co-pays, deductibles, and any financial responsibilities.
Collaborate with front-office staff to relay insurance-related information and ensure a smooth check-in process.
4. Documentation:
• Maintain detailed and accurate records of insurance verification processes.
File and organize patient documents, ensuring confidentiality and accessibility.
5. Authorization Coordination:
• Work closely with medical staff to obtain necessary authorizations for procedures or treatments requiring pre-approval.
Ensure all required documentation is submitted to insurance providers in a timely manner.
6. Billing Support:
• Collaborate with the billing department to address any discrepancies in insurance information and resolve billing-related issues.
Collect patient payments, provide receipts, and maintain accurate financial records.
7. Cleaning and Maintenance:
• Perform cleaning tasks in the lobby area to maintain a welcoming and sanitary environment.
Ensure cleanliness and orderliness in shared patient areas.
8. Patient Education:
• Educate patients on their insurance benefits, co-pays, and any out-of-pocket expenses.
Provide guidance on financial assistance programs or alternative payment options when applicable.
9. Problem Resolution:
• Proactively identify and address potential issues related to insurance coverage or billing to prevent delays in patient care.
Other duties may be required as assigned.
Qualifications:
• High school diploma required; associate or bachelor’s degree in healthcare administration or related field is a plus.
Previous experience in healthcare insurance verification, billing, or patient advocacy preferred.
Strong understanding of insurance processes, terminology, and regulations.
Excellent interpersonal and communication skills.
Detail-oriented with strong organizational and multitasking abilities.
Proficiency in using relevant software and databases for insurance verification.
Empathetic and patient-centered approach to healthcare services.
Knowledge of urgent care clinic operations is a plus.
If you are passionate about advocating for patients and ensuring they have access to the care they need, we invite you to apply for this important role in our Urgent Care Clinic. Join us in making a positive impact on the health and well-being of our community.
Required Attire: Grey Scrubs and Closed Toe Shoes (No Crocs)