Primary Health Care, Inc (PHC)
Bilingual Patient Benefits Specialist I - East Side Clinic
Primary Health Care, Inc (PHC), Des Moines, Iowa, United States, 50319
Bilingual Patient Benefits Specialist I - East Side Clinic
Join to apply for the Bilingual Patient Benefits Specialist I - East Side Clinic role at Primary Health Care, Inc (PHC)
Pay Range Primary Health Care, Inc (PHC) provided pay range: $17.00/hr - $25.50/hr. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Schedule and Location This position typically works at PHC East Side Clinic in Des Moines and is scheduled 40 hours per week: Monday – Friday 8:30 AM – 5 PM and Saturday 9 AM – 1 PM approximately every third Saturday. This position is eligible for a $5.00 per hour shift differential when working a 3‑hour shift either on a Saturday or after 5 PM on a weekday.
Our team members are occasionally needed to cover other shifts or to work at other PHC clinics in Ames, Des Moines, and Marshalltown. Mileage reimbursement and/or an out‑of‑town travel bonus may apply.
What You Will Do
Ensures a consistent revenue cycle process in medical and/or dental clinics by reviewing patient schedules to identify patients with upcoming appointments who need assessment for financial assistance, other available benefits, or payment plans.
Completes phone outreach to patients with past balances, expired insurance plans, needed documents for income verification or uninsured to screen and determine appropriate next steps for patients.
Meets with patients as needed to help them apply for Medicaid (including Hawk‑I), Marketplace coverage, or other insurance programs. Conducts outreach and enrollment activities including annual Marketplace enrollment events. May provide assistance at various locations, including PHC clinics and community agencies.
Helps patients apply for the sliding fee program.
Maintains patient financial assistance files including electronic notes in registration and/or financial note files.
Completes necessary back‑billing for applicable patients when insurance is identified or approved after the visit.
Answers patients’ questions related to billing statements and collaborates with the billing department to support patients in resolving issues related to medical and/or dental bills.
Verifies and follows up on patient credits and/or refunds that are identified through patient question or account verification processes.
Completes monthly laboratory and radiology billing.
Communicates with patients about anticipated cost of visit, if applicable. Creates and distributes good faith estimate letters in accordance with the No Surprises Act and upon patient request.
Monitors and reports on payer mix for assigned clinic and works with Clinic Director to address unfavorable payer mix changes.
Provides ongoing support and coverage to the Patient Access Representative role.
Performs other duties as assigned.
Qualifications You Need Required
High school diploma or equivalent.
Two years of experience in healthcare, human services, or social services; or three years in customer service.
Effective verbal and written English communication skills.
Effective verbal and written Spanish communication skills.
Professionalism and excellent customer service skills.
Detail oriented with a high degree of accuracy.
Problem‑solving and critical‑thinking skills.
Takes initiative and is dependable.
Team oriented with the ability to work collaboratively.
Basic math skills.
Ability to understand and follow written instructions.
Proficiency using Microsoft Office and Google Suite computer applications.
Ability to learn and effectively use the electronic health record system.
Organization, prioritization, and time‑management skills.
Strong interpersonal skills with ability to establish and maintain effective working relationships with a diverse group of individuals.
Completion of Presumptive Eligibility training and training completion award documentation are required within the introductory period of the position and must be maintained throughout employment thereafter.
Certified Application Counselor (CAC) certification is required within 12 months of starting in position.
Preferred
Higher education degree in a related field.
Senior Health Insurance Information Program (SHIIP) Counselor Certification.
Work experience in a community health center, medical or dental clinic, or in the essential functions of the position.
Knowledge of clinical terminology.
Knowledge of health insurance eligibility requirements, enrollment processes, and insurance impacts on the revenue cycle.
Benefits
Generous PTO accrual
License/certification fee reimbursement*
Paid time off for continuing education & continuing education reimbursement*
401k with company match
Medical insurance
Vision insurance
Life & disability insurance
Flexible spending & health savings accounts
Supplemental accident & critical illness insurance
Discounted pet insurance
Visit https://phciowa.org/careers for a summary of PHC’s benefits.*
Growth Opportunities We take pride in offering development and growth opportunities to our team. Some of our training opportunities include Emerging Leaders, Dental Assistant Trainee Program, & Medical Assistant Trainee Program. In the last year, over 30% of our open positions were filled through promotions or transfers.
Join the PHC Community PHC Talent Community: Facebook | Instagram | LinkedIn | TikTok
#J-18808-Ljbffr
Pay Range Primary Health Care, Inc (PHC) provided pay range: $17.00/hr - $25.50/hr. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.
Schedule and Location This position typically works at PHC East Side Clinic in Des Moines and is scheduled 40 hours per week: Monday – Friday 8:30 AM – 5 PM and Saturday 9 AM – 1 PM approximately every third Saturday. This position is eligible for a $5.00 per hour shift differential when working a 3‑hour shift either on a Saturday or after 5 PM on a weekday.
Our team members are occasionally needed to cover other shifts or to work at other PHC clinics in Ames, Des Moines, and Marshalltown. Mileage reimbursement and/or an out‑of‑town travel bonus may apply.
What You Will Do
Ensures a consistent revenue cycle process in medical and/or dental clinics by reviewing patient schedules to identify patients with upcoming appointments who need assessment for financial assistance, other available benefits, or payment plans.
Completes phone outreach to patients with past balances, expired insurance plans, needed documents for income verification or uninsured to screen and determine appropriate next steps for patients.
Meets with patients as needed to help them apply for Medicaid (including Hawk‑I), Marketplace coverage, or other insurance programs. Conducts outreach and enrollment activities including annual Marketplace enrollment events. May provide assistance at various locations, including PHC clinics and community agencies.
Helps patients apply for the sliding fee program.
Maintains patient financial assistance files including electronic notes in registration and/or financial note files.
Completes necessary back‑billing for applicable patients when insurance is identified or approved after the visit.
Answers patients’ questions related to billing statements and collaborates with the billing department to support patients in resolving issues related to medical and/or dental bills.
Verifies and follows up on patient credits and/or refunds that are identified through patient question or account verification processes.
Completes monthly laboratory and radiology billing.
Communicates with patients about anticipated cost of visit, if applicable. Creates and distributes good faith estimate letters in accordance with the No Surprises Act and upon patient request.
Monitors and reports on payer mix for assigned clinic and works with Clinic Director to address unfavorable payer mix changes.
Provides ongoing support and coverage to the Patient Access Representative role.
Performs other duties as assigned.
Qualifications You Need Required
High school diploma or equivalent.
Two years of experience in healthcare, human services, or social services; or three years in customer service.
Effective verbal and written English communication skills.
Effective verbal and written Spanish communication skills.
Professionalism and excellent customer service skills.
Detail oriented with a high degree of accuracy.
Problem‑solving and critical‑thinking skills.
Takes initiative and is dependable.
Team oriented with the ability to work collaboratively.
Basic math skills.
Ability to understand and follow written instructions.
Proficiency using Microsoft Office and Google Suite computer applications.
Ability to learn and effectively use the electronic health record system.
Organization, prioritization, and time‑management skills.
Strong interpersonal skills with ability to establish and maintain effective working relationships with a diverse group of individuals.
Completion of Presumptive Eligibility training and training completion award documentation are required within the introductory period of the position and must be maintained throughout employment thereafter.
Certified Application Counselor (CAC) certification is required within 12 months of starting in position.
Preferred
Higher education degree in a related field.
Senior Health Insurance Information Program (SHIIP) Counselor Certification.
Work experience in a community health center, medical or dental clinic, or in the essential functions of the position.
Knowledge of clinical terminology.
Knowledge of health insurance eligibility requirements, enrollment processes, and insurance impacts on the revenue cycle.
Benefits
Generous PTO accrual
License/certification fee reimbursement*
Paid time off for continuing education & continuing education reimbursement*
401k with company match
Medical insurance
Vision insurance
Life & disability insurance
Flexible spending & health savings accounts
Supplemental accident & critical illness insurance
Discounted pet insurance
Visit https://phciowa.org/careers for a summary of PHC’s benefits.*
Growth Opportunities We take pride in offering development and growth opportunities to our team. Some of our training opportunities include Emerging Leaders, Dental Assistant Trainee Program, & Medical Assistant Trainee Program. In the last year, over 30% of our open positions were filled through promotions or transfers.
Join the PHC Community PHC Talent Community: Facebook | Instagram | LinkedIn | TikTok
#J-18808-Ljbffr