Patient Benefit Advisor

Patient Benefit Advisor

Granger Medical Clinic has an immediate opening for a full-time Patient Benefit Advisor at our Taylorsville UT headquarters as part of our Revenue Cycle team.

In this critical role you will serve as a vital bridge between patients clinical staff and insurance providers. This position is responsible for verifying and obtaining insurance authorizations resolving complex billing inquiries and providing compassionate financial counseling to patients and families to optimize the patient experience and support clinic reimbursement goals.

Knowledge Skills and Abilities:

Establishing and maintaining strong professional working relationships with all internal and external contacts.
Exercising sound judgment and effectively managing patient expectations.
Attention to detail and high accuracy.
Proficiency in Microsoft Office Suite (Word Excel Outlook).
Strong interpersonal and collaborative skills.
Excellent written oral and empathetic communication skills.
Capacity to work independently.

Essential Functions and Duties:

Monitoring patient accounts identifying billing trends and ensuring revenue cycle processes support timely provider reimbursement.
Resolving patient inquiries via a high volume of incoming phone contacts and correspondence regarding a variety of billing issues.
Collects any outstanding balances/payments updates all demographic and insurance information and maintain accurate reporting.
Supports clinic receptionists as needed with patient scheduling check-in processes and PA system management.
Researching all inquiries to resolution using various sources including contacting insurance companies and other outside contacts.
Alerting management of any recurring billing trends or systemic issues encountered through patient contacts and actively participating in developing proactive solutions.
Interviewing patients and families facing financial hardships initiating/completing financial assistance applications as appropriate.
Verifying insurance eligibility and benefits utilizing available technologies payer websites or direct phone contact with third-party payers.
Processing and classifying bad debt for self-pay accounts and reviewing/resolving PCP and self-pay exception reports.
Verifying and obtaining insurance prior authorizations counseling applicable areas of any out of pocket expenses.
Any other duties as requested.

Education and Experience:

Experience working in healthcare preferred as a patient service representative.
Experience navigating insurance prior authorization processes.
High school diploma or GED.

Physical Requirements and Working Conditions:

Sedentary work requiring lifting up to 10lbs.
Repetitive motion associated with operating a computer phone and other standard office equipment.
Inside climate-controlled working conditions.

Granger Medical Clinic offers competitive wages and excellent benefits.

Benefits include:

• Vision
• Dental
• Medical
• Sick Leave
• Paid Time Off
• Life Insurance
• Paid Maternity Leave
• Tuition Reimbursement
• Short- and Long-Term Disability
• Employee Assistance Program (EAP)
• Health Savings and Flexible Spending Accounts
• 401(k) with a Company Match Profit Share and Safe Harbor Contributions

The salary range listed is the base salary range offered for this position. Actual salaries may vary depending on factors including but not limited to work experience education and/or skill level.

Granger Medical Clinic provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race color religion sex national origin age disability or addition to federal law requirements Granger Medical Clinic complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall and transfer leaves of absence compensation and training.

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regards to race color religion gender sexual orientation gender identity national origin age disability status genetic information and testing Family & Medical Leave protected veteran status or any other characteristic protected by law.

Required Experience:

Unclear Seniority