Overview
Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.
Responsibilities
PRIMARY DUTIES AND RESPONSIBILITIES
Authorizations and Benefits
Obtain knowledge of payer requirements and policy benefit structure
Formulate working knowledge of Coordination of Benefits as it relates to financial management
Keeps current on payer trends through utilization of website, email and bulletin communications
Utilizes website, portal and electronic options when available to increase efficiency
Documents and communicates activities appropriately
Other duties as assigned
Patient Advocate
Highly involved in developing the pathway from seminar to surgery for bariatric patients. Will facilitate and manage post-procedure support groups.
Provides financial counseling services regarding payment arrangements and financial advising for all potential General Surgery and Bariatric patients, including uninsured and underinsured patients presenting a financial need by phone or in person
Coordinate, facilitate and present Bariatric Education Seminars for prospective patients
Demonstrate knowledge of Northside Hospital Bariatric Center of Excellence to potential patients, while also exhibiting courteous and cooperative behavior with patients and their families.
Provide and arrange proper guidance for patients interested in the General and Bariatric Surgery Program by providing information on the program’s procedures, as well as acquiring financing and insurance benefit information
Improve and participate in the ongoing effort to increase community awareness of the practice and program
Distribute brochures, bio cards, organize and attend physician and patient education events.
Record and maintain comprehensive documentation of patient enrollment activities
Notifies appropriate departments of determination and outcomes via verbal and written communication as appropriate
Quote prices and self-pay fees as requested by physicians and/or patients
Assist accounting with any patient assistance needs
Answer patient calls and requests promptly and efficiently
Refer patients as appropriate to outside social services organizations
Other duties as assigned
Qualifications
KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED
BA/BS preferred; or minimum five years’ experience in Bariatric patient management
KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED
Strong customer service delivery skills
Self-motivated, independent work skills
Working knowledge of government and managed care benefit structures
Working knowledge of Bariatric service line and strong foundation in patient support programs
Professional written and verbal communication skills
Detailed and results oriented individual
Strong interpersonal skills
Work Hours:
8:00AM - 4:30pm