Patient Liaison

Job Purpose
The Patient Liaison works to obtain WC/NF information from patients in the hospital. They assist with both in-house and discharged patients. The Patient Liaison works onsite in a designated area assigned by the client to meet with and gather information from patients.

Duties and Responsibilities

Contact patients and screen for WC/NF insurance on cases referred by client hospital, either over the phone or in person
Review and validate insurance information
Research and verify patient contact information using search engines and hospital computer systems and annotate hospital system with daily notes
Research and resolve pending WC/NF issues
Retrieve information from hospital databases
Verify insurance coverage by using various websites or by calling insurance companies
Update internal database with all work that is completed on accounts (actions taken to communicate with patients, code account)
Obtain and send mail and correspondence to Supervisor
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

High School Diploma or equivalent is required
Experience in the field of healthcare or insurance plans is a plus
Fully bilingual in Spanish (spoken and written skills) required
Ability to use the internet and learn databases
Strong investigatory and researching skills
Strict adherence to the policies and protocols of the client while conducting themselves professionally at all times
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required

Working Conditions

Ability to work onsite at client location
Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds)
Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
Work Environment: Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.