Patient Benefits Coordinator (Renton)Print

Job Summary

Proliance Orthopedic Associates, a division of Proliance Surgeons Inc., is seeking a full-time Patient Benefits Coordinator to join our team in Renton, WA.

Job Description

Posted: 04/05/2019
Status: Full Time
Type: Administrative
City: Renton, WA

The Patient Benefits Coordinator position is responsible for verifying and obtaining authorizations as required by insurance companies, government and commercial, based upon the patient’s plan. Contacts patients for updated insurance information when applicable. Performs financial reviews and calculations based upon the plan benefits received from the insurance company and disseminates the information to all parties involved. 

It is a requirement of the position to be a team player with the ability to work and communicate effectively with patients, physicians, nurses, hospital staff, POA staff and POA administration staff. The position also requires the ability to handle delicate, confidential and stressful situations as well as flexibility and willingness to perform additional tasks as assigned.

Essential Functions:

Include, but are not limited to:

Communication

  • Demonstrates appropriate verbal and written communication skills to relay information in a clear concise manner to patients and/or patient’s family, peers, physicians, management and hospital staff
  • Initiates appropriate questions and provides timely feedback to management on any issues, policies and/or procedures
  • Maintains confidentiality of patient information and adheres to the HIPAA guidelines
  • Participates in department problem solving and assists fellow employees as necessary
  • Employees must convey a positive image of the clinic at all times

Team Participation

  • Establishes and maintains a positive working relationship with team members, management and physicians
  • Completes mandatory education and/or in-services as required for position
  • Actively participates in the Culture of Continuous Process Improvement
  • Adheres to the Proliance Orthopedic Associates mission and vision

Customer Service

  • Establishes and maintains positive working relations with POA’s referral sources, patients, hospital staff, POA physicians and POA staff
  • Answers telephone in a timely, reliable and courteous manner
  • Demonstrates an active, calm and positive approach to problem solving
  • Refers problems/issues to the appropriate staff with timely follow up  
  • Follows procedures for new and established patients by verifying information, collecting co- payments, explains insurance billing requirements and provides receipts. 

Qualifications, Responsibilities and Requirements:

  • Good physical and mental health. 
  • Professional conduct (ability to handle conflict), effective communication, understanding of human behavior, ability to adapt to change, demonstrates job knowledge, punctuality and regular attendance, and professional appearance 
  • Excellent verbal communication skills and phone etiquette
  • Effective time management skills
  • Critical thinking and problem solving skills
  • Maintains current knowledge of government rules and regulations
  • Required to remain update on all changes in coding, reimbursement and authorization requirements for all contracted payers
  • Assists in educating and acts as a resource to the POA staff regarding authorization requirements
  • Basic knowledge of ICD-10, clinical indications required to meet the medical justifications of the exam
  • Must be patient service driven
  • Proficiency in basic medical terminology
  • Knowledge of compliance with the HIPAA privacy policy
  • Professional appearance
  • Understands and demonstrates the basic understanding of the Revenue Cycle in order to obtain the appropriate information to ensure the appropriate reimbursement

Physical Demands:

The work environment/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.

  • Requires corrected vision and hearing to normal range
  • While performing the duties of this job, the employee is regularly required to talk or hear
  • The employee regularly is required to stand, walk, and sit
  • Work is performed in an office environment
  • Some bending and stretching required. Use of telephone is required
  • Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 50 pounds
  • Requires working under stressful conditions or working irregular hours

Adherence to Clinic Policies / Practices:

  • Demonstrates a strong commitment to the organization and is expected to follow instructions from his/her immediate supervisor, physician or POA administrator.  Employees are expected to conform to the policies set forth in the Employee Handbook.
  • Must continually demonstrate the safety procedures for the clinic and utilize universal precautions where appropriate.  Must continually demonstrate appropriate use of body mechanics techniques.
  • As outlined in the POA Employee Handbook, the employee must be reliable, polite, prompt, and confidential.  The employee must be capable of efficiently but warmly interacting with patients and other physicians.  Major responsibilities will be performed according to the direction of their supervisors.

How to Apply:

If interested in applying, please submit your cover letter and resume through the form below, email to poacareers@proliancesurgeons.com or fax 425-291-1487, ATTN: Human Resources.



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