Patient Advisor - Cancer Center Details

Patient Advisor - Cancer Center

Portneuf Medical Center - Pocatello, ID

Employment Type : Full-Time

Who We Are

Patient focused, community oriented, conveniently located and equipped with technology that rivals the nation’s most prestigious healthcare systems, Portneuf Medical Center offers a comprehensive and growing array of services delivered by caring and highly skilled medical professionals.

Our mission statement “World Class Care, every patient, every time” helps us focus on what truly matters: You. And our commitment is to make sure our patients receive amazing care every time they have contact with Portneuf Medical Center. The physicians, nurses and volunteers who are a part of the Portneuf family are your friends and neighbors. We're your community, your hospital and team, working hard for you.

We are looking for a dynamic and passionate Patient Advisor to join our team!

What You’ll Do

The Patient Advisor will be responsible for

managing the financial process for patients of the Cancer Center. Verify insurance benefits, obtains pre-authorizations for services provided, submits appeals and/or retro-authorizations. Advocates and assists patients regarding the billing process, insurance terminology, and co-pay and charity assistance. Researches billing and reimbursement practices for proper diagnosis coding, procedures and treatment services. Works closely with the physicians, billing office and HIM for accurate billing of patient services.

The successful candidate will be able to:

• Verify benefits and eligibility, financially clearing patient for all scheduled services as well as initiate/obtain authorizations.
• Research denials for no authorization, pre-existing and appeals, obtain retro-authorization.
• Screen for and assist with uninsured patients for charity/disability/Medicaid/Veteran/free drug assistance and/or refer them to appropriate agencies.
• Acts as a patient advocate providing assistance, direction, guidance and input to the patient billing process. Answers and researches any billing questions, concerns for the patient.
• Researches billing and reimbursement practices for proper diagnosis coding and procedures and treatment services. Advise staff of billing and coding changes.
• Coordinate and review delinquent accounts with the business office.

What We Offer

Competitive pay and benefits package including Health/Dental/Vision/401(k) match. Generous paid time off, holidays, extended illness bank, paid basic life insurance and long term disability.

Portneuf Medical Center is an Equal Opportunity Employer

What You’ll Bring

• High School diploma or equivalent.
• 3 to 6 years billing experience preferred.
• PC experience with Excel.
• Demonstrated experience with dealing with insurance payors.
• Writing/editing skills necessary to produce appropriate documentation and communications.
• Must have an understanding of computers and applications
• Must be able to take verbal instruction and practically apply without direct supervision.