Job Description

Building Name: UVMMC - 40 IDX Drive

Location Address: 40 IDX Drive, South Burlington Vermont

Regular

Department: Registration

Full Time

Standard Hours: 40

Shift: Day/Eve

Primary Shift: OTHER

Weekend Needs: None

Salary Range: Min $19.64 Mid $24.54 Max $29.44

Recruiter: Abby Luck

This position is Monday-Friday, 9:30AM-6:00PM.

This position has on-site parking, no shuttling required. Although currently 100% onsite this role will transition to \xe2\x80\x9chybrid remote\xe2\x80\x9d (partially remote/partially in office) in summer of 2023. All new hires should expect to be fully on-site in South Burlington, VT for a minimum of 6 months for onboarding and training purposes. The preferred candidate will have some work experience related to health insurance benefits and eligibility. The ideal candidate will also have experience and knowledge related to authorizations and referrals associated with hospital and/or medical office services.

External candidates are eligible for a one-time signing bonus of $6,000 (prorated for part time role). The bonus will be paid out as a $1,000 gross pay adjustment following the completion of a successful 90-day orientation. After 6 months there will be a second payout of $2,000 with a final installment of $3,000 paid upon completion of one year (2,080 hours) of satisfactory service in the department hired into. Amounts reflect gross pay, prior to applicable tax withholdings and deductions required by law. Please note that current UVM Health Network employees are excluded from eligibility for this bonus. Additional terms and conditions apply.

JOB DESCRIPTION:
The Patient Benefits Advisor is a fundamental part of the patient experience and is a key contributor to the financial health of the organization. The Benefits Advisor coordinates all aspects of the financial clearance process to provide a seamless, transparent and centralized source for patients and families, particularly those whose care spans multiple services. This includes but is not limited to pre-registration, insurance eligibility and benefit management, medical necessity screening, prior authorization management, financial counseling and payment conversion planning. Further, the incumbent shall work with patients and families to financially secure outpatient services, out/inpatient procedures and inpatient admissions; informing, educating and financially counseling patients on their insurance benefits, out of pocket expenses and the options available for payment and/or assistance. Analyzing data from multiple disparate systems and platforms, the Advisor will pre-screen services, work with providers and payers to authorize care, ensure medical necessity and where applicable manage federal and commercial waivers for out of pocket billing. Where applicable, the Advisor will work with providers to reschedule, escalate for approval and/or cancel unsecured services where medical necessity and authorization cannot be obtained. The Advisor is additionally accountable to secure hospital transfers, urgent and emergent admissions, authorizing and tracking all payer sources and in the case of births, ensure parents enroll newborns in their insurance plan. The Advisor will be expected to distill complex regulatory and payer requirements into succinct, easy to understand language, thereby ensuring patients make informed care decisions with a full understanding of their financial obligation. The Benefits Advisor must maintain excellence in customer service and guest relations at all times, ensuring that all those who come to the organization experience a positive encounter pre-service and at time of service.

EDUCATION:
Bachelor\xe2\x80\x99s Degree preferred, Associates required. An equivalent combination of education and experience may be substituted. CHAA certification preferred and required within one year of employment.

EXPERIENCE:
Position requires one or more years of experience as a Patient Access Specialist, Biller, Financial Counselor, Advocate and/or enrollment specialist, insurance specialist or highly skilled customer service focused role where skills are immediately applicable.

University of Vermont Health Network