As aHealthcare Representative, you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or healthcare setting.
This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 7:00pm. It may be necessary, given the business need, to work occasional overtime. Our office is located at 9333 SW 152nd St, Miami, FL 33157.
We offer weeks of paid training. The hours of the training will be based on schedule or will be discussed on your first day of employment.
Primary Responsibilities:
Interview patients in a hospital setting and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverageComplete applications for state and federal programs (including Health Exchange/Marketplace programs)Review medical records and take all necessary actions to expedite benefit approvalAdhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)Maintain ongoing communication with government agencies regarding the status of claimsProvide updates and assistance to hospital personnel and other Change Healthcare staff as neededMaintain documentation of status of claims and client contract on Change Healthcare and/or hospital computer systemsDetermine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.Willing to work in a fast-paced hospital or healthcare environment