Patient Benefits Specialist

The Denver Hospice has an immediate opening for a Patient Benefits Specialist.

Location: Denver, CO

Status: Full-time

Schedule: Monday-Friday, 8-5, occasional weekends

Hourly Pay Range: $20.14 - $25.08

Supplemental Pay: Based on position, schedule and/or availability: Overtime

Mileage and Expense Reimbursement: Sixty-two and a half cents per mile – one of the highest in the industry!

CULTURE, BENEFITS AND PERKS: 

• We value diversity, equity and inclusion and know it matters for our team members and our patients. We provide welcoming, supportive and inclusive care to our patients and a work environment where all team members feel respected and valued.
• We support a culture of work-life balance and provide team members with two, free, confidential and robust benefit programs designed to provide solutions to the logistical and financial problems that arise in life. 
• Low healthcare premiums: no increases in five out of the last seven years, including 2023
• Employer pays over 90% of employee medical premium in some plans
• Health Savings Account (HSA) with significant Employer Funding: Single $1,000, Family $2,000 
• Healthcare Benefits are effective on the 1st of the month following date of hire
• Extensive Paid Time Off (PTO/Vacation Pay/Sick Leave) and EIB (Extended Illness Bank): accrued
• Seven Paid Holidays with an additional Floating Holiday
• 403(b) Retirement Plan with Employer Match: 50% match up to 8% of total compensation
• Company-Paid Life and AD&D Insurance
• Career & Logo wear 
• Education Reimbursement Program
• Clinical Career Ladders
• Certification Pay
• Generous Discover-a-Star Team Member Referral Program
• Robust Team Member Service Awards
• Early Wage Access
• Legal and Identity Protection

REWARDING WORK YOU WILL DO:

Responsible for working along with the Admissions Team to ensure patients’ coverage information is verified and accurate. Performs a variety of clerical duties in connection with insurance coverage for patients.

• Responsible for verifying private insurance, Medicare, or Medicaid benefits prior to patient’s admission. 
• Effectively communicates patient’s financial responsibilities to Admissions team. Explains coverage to patients as appropriate.
• Ensures financial arrangements for uninsured and under-insured patients accessing palliative and hospice services.
• Researches, identifies and reports to the Admissions team any prior hospice services patient may have received. 
• Reviews all insurance related information within patient charts for accuracy and completeness, correcting errors or omissions.
• Obtains prior authorization for hospice care from private insurance companies. Is responsible for researching and complying with the individual insurance company’s terms to include checking daily census, gathering all necessary clinical information, tracking submissions, approvals and re-authorizations as appropriate.
• Responsible for assisting the Admissions Team to ensure Medicare’s Notice of Elections (NOEs) are compliant. Duties to include checking daily census, tracking all admissions in Notice of Election/Notice of Transfer or Revocation (NOE/NOTR) logs. Responsible for entering the NOE no later than five (5) calendar days after admission. Follow-up with Admissions/clinical teams if incorrect NOE information is discovered. Collaborates with appropriate Finance team members during any NOEs appeals.
• Reconcile and enter Inpatient visit count sheets into electronic medical record to ensure visits are designated as billable. 
• Collaborates with Finance department to ensure accuracy of payments and write offs.  Verifies patients in self-pay, indigent, charity and Medicaid on a monthly basis.

WHAT WE ARE GOING TO LOVE ABOUT YOU:

• Minimum Education:   High School or equivalent combination of education and experience.
• Minimum Experience:  One (1) year insurance verification, billing or receivable in hospice or healthcare environment.

PHYSICAL REQUIREMENTS:

• Ability to lift/carry a minimum of 30 lbs

The Denver Hospice is affiliated with Care Synergy, a nonprofit network of community-based hospice and palliative care organizations serving Colorado’s Front Range and the Region’s Largest Home Health, Hospice, and Palliative Care Network. Care Synergy provides mission support services to better equip The Denver Hospice to operate as a distinct and independent organization while working together to share best practices and serve more Coloradans along the Front Range.

If you need assistance completing the electronic application please contact our Talent Acquisition team via email at cs-recruitment@caresynergynetwork.org. You may also call the Human Resources Department at (303) 228-5647. Applications can be completed in-person at any one of our affiliate office locations.

The Organization does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, gender identity, pregnancy, national origin, age, disability, creed, ancestry, genetic information, marital status, sexual orientation/identity, transgender status, military or veteran status, or any other characteristic protected by federal, state, or local law. This prohibition includes unlawful harassment based on any of these protected classifications.