Benefits Counselor

Description:

ESSENTIAL FUNCTIONS:

• Greets patients and their families in a courteous and professional manner.
• Schedules patients in person and over the phone for Medical, Dental and Mental Health Providers.
• Verifies insurance: Medicaid status, co-pays, deductibles, authorizations, and TFH PCP assignment.
• Collects co pays.
• Calculates and collects sliding fee scale charges.
• Provides and collects all necessary HIPAA documents to patients. Follows all HIPAA, compliance, privacy and confidentiality standards.
• Provides thorough and accurate information to all callers. Communicates appropriate preparation(s) in a clear, concise manner
• Confirms appointments for following day; verifying insurance and PCP, co-pays, self-pays or balance due, correct address and phone number on file.
• Recalls patients who missed prior day’s appointments to attempt to re-schedule appointment; mail letters to those who were not contacted via phone call.
• Rectifies cash box at the end of shift; Fill out cash receipt with patients’ information and type of payment made, including insurance type.
• Obtains daily rosters from Insurance Companies of patients who have listed TFH Providers as their PCP. Contact these people via phone or mail inquiring if they would like to make an appointment with one of our Providers at TFH.
• Maintains an organized and clean work and reception area.
• Registers and obtains all patient demographics with up-to-date information.
• Works with patients regarding insurance options, including selecting a primary care provider.
• Ensures that eligibility and billing-related data are current.
• Determines patient’s insurance eligibility using epaces and/or insurance web portal.
• Follows-up to ensure that patient’s insurance enrollment or status change has been processed.
• Tracks patients reported barriers to receiving all services needed.
• Answers phones with TFH greeting and relay messages to the appropriated personnel.
• Works closely with the Billing Department and Medical, Mental Health and Dental teams.
• All other duties assigned.

Requirements:

Background and Education:

High School degree/associate degree or an equivalent in training and/or experience; minimum of two years front desk/registration experience; valid NY state drivers or non-driver ID/license; knowledge of the New York City area; knowledge of current of health insurance plans and verification insurance eligibility; customer service experience; attention to details; reliable; resourceful; great work ethics; bilingual Spanish speaking required.

COVID-19 and Flu Vaccines are required.