Patient Access Liaison II

Malvern Behavioral Health is seeking a full-time Patient Access Liaison II to work at our acute inpatient behavioral health facility located at 3905 W Ford Road Philadelphia, PA 19131. The Patient Access Liaison II is a full-time position that reports up through our Finance department. The position offers a competitive salary and a comprehensive benefit package!

The Patient Access Liaison II is responsible to  research/verify, patient healthcare coverage and benefits, along with payer requirements for reimbursement. This individual will handle all insurance verification by using the insurance portals as needed. Such as Promise (EVS), NaviNet, Availity and PEAR Portals. Will be responsible for calling the insurance company and obtaining the most recent benefit details, obtaining information regarding authorization and claim submission. They will have conversations with patients regarding their insurance coverage and benefit details along with collecting any Out-of-Pocket balances.  They will be responsible for updating the billing system and ensuring all insurance verification documentation is attached to the individual’s account.  They will work closely with multiple departments such as Admissions, Utilization Management; and Patient Accounting.

Summary of Essential Position Functions:

- Extensive time of communication via phone with patients/responsible parties, Insurance providers and/or managed care companies.

- Maintain strict confidentiality of patient information following the HIPPA guidelines.

- Accurate data entry of insurance/benefit and payer requirement information into computer system

- Provides excellent customer service to patients and families.

- Verifies insurance benefits to make sure plans are active and has no termination date showing in the immediate future, as well as verify any financial obligations such as deductibles, co-insurance, and co-pays that the patient would be responsible for.

- Communicates with supervisor on admissions that need payment plans for admissions.

- Calculate patient responsibility and explain benefit details to patients.

- Clearly explain estimated out of pocket responsibilities. Insurance coverage limits and policy benefits directly to patients or guarantors.

- Upfront collections will be expected.  You will be responsible for requesting and accepting payments (estimated balances) via credit card or check.

- Concisely, and accurately document all information on the account and scan documents into the patients’ account.

- If patient is a prior patient, check billing system for prior balances outstanding.  Explain prior balances to patients and assist in setting up a payment plan for prior patient activity balances.

- Assist the admission team by obtaining all pertinent information along with having admission documentation signed as needed.

Benefits Offered for the Patient Access Liaison II position include: Medical, Dental, Vision coverage. A 401K offering with a company match! Free life insurance, free long term disability policy and paid time off!

- Participates in continuing education (in- services & other training) to achieve professional growth.

- Perform other duties assigned to support Malvern Health’s vision and values.

Qualifications

Qualifications: To perform this position successfully, an individual must be able to perform each essential duty satisfactorily.  This position requires individuals that are client focused; team oriented; great interpersonal and communication skills; flexible to sudden changes in workload, emergency or staffing; dependable; problem solving skills; focused on compliance and performance quality. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience: High school diploma or equivalent required, bachelor’s degree preferred. Knowledge of addictive diseases preferred. Healthcare, Admissions, Insurance experience a plus.

Technical/Computer Skills: MS Office, billing software, telephone, and other office equipment.

Work Environment and Hazards: No hazardous conditions. Weather protected.

Physical Requirements: Sedentary work – lifting 10 lbs. maximum and occasionally lifting and/or carrying such articles as patient charts, binders, letters, and small tools. Involves sitting and a certain amount of walking and standing occasionally to carry out job duties. Communication is required. Talking, expressing or exchanging ideas by means of the spoken word, and hearing, perceiving the nature of sounds by the ear, is required.

*Malvern Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.*