Patient Benefits Counselor

Roanoke, VA, US, 24014

Employment Status:  Full time
Shift:  Day
Facility:  Carilion Clinic Orthopaedic Surgery (Institute for Orthopaedics and Neurosc
Requisition Number:  121538


 Onsite, Remote or Hybrid: Onsite

 Sign on Bonus:

Job Summary

  • Reviews appointment schedules in advance of appointments to identify patients potentially in need of financial assistance or counsel.  Patient contact may be initiated through this position, through the Patient Access or other contact center.  
  • Works closely with others to coordinate the best financial care for patients according to Carilion Clinic policies and standards.  
  • Contacts patients to meet face to face or by telephone before, after or during patient visits to council and advise.
  • Completes verifications of insurance benefits, assures required authorizations are obtained or coordinates verification of eligibility for other programs based on established screening criteria
  • Enters or verifies patient registration demographics and makes corrections, as needed.  Documents insurance coverage and/or other financial arrangements.
  • Maintains an extensive knowledge of a wide range of insurance plans to accurately determine patient financial liability and payment obligations and to provide knowledge to customers.
  • Collects patient-contracted out-of-pocket responsibilities and deposits from patients at the point of service.
  • Assists or refers patients to the appropriate resources for financial assistance application and monitors follow through.  
  • Provides excellent patient relations by giving timely and responsive assistance to the patient on resolution of problems, correction, or completion of insurance billing inquiries, and the combining of unpaid accounts.   


Minimum Qualifications

Education: High school diploma or equivalent required.  Associate Degree or Bachelor Degree preferred.  Course work in Medical Terminology, ICD,  CPT and HCPCS Code knowledge required at time of hire or complete course within 3 months of hire.

Experience: Minimum of two years medical office and/or hospital registration experience  required.  .  Demonstrated knowledge and understanding of insurance practices and requirements.  Knowledge of medical terminology.  Demonstrated knowledge and understanding of ICD,  CPT and HCPCS coding methodology preferred.

Licensure/Certifications/Registration: None

Other Minimum Qualifications:

Customer driven.

Demonstrates excellent communication and interpersonal skills with all clinical staff, patients and visitors.

Demonstrates the ability to communicate in a professional manner during stressful and sensitive situations and possess strong negotiation skills.

Computer literate.  Able to navigate in web-based and Microsoft office formats.  Strong grammar, spelling and punctuation skills required.

Effective problem solving skills and ability to interpret and make decision based on established guidelines.

Demonstrates a positive demeanor, good verbal and written communication skills, and a professional appearance and approach.

Knowledge of medical terminology, office procedures and equipment.

Posses the ability to multi task and handle stressful or difficult situations with professionalism. 

About Carilion

Below are our core values that we strive to embody and expect of all our team members:

Collaboration: Working together with purpose to achieve shared goals.

Commitment:  Unwavering in our quest for exceptional quality and service.

Compassion:  Putting heart into everything we do.

Courage:  Doing what’s right for our patients without question.

Curiosity:  Fostering creativity and innovation in our pursuit of excellence.

Recruiter: EMILY F ALLEN 
Recruiter Phone:  
Recruiter Email: 

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Total Rewards

What matters to you is important to us—like benefits, rewards, and resources to improve your life. Carilion understands the importance of prioritizing your well-being to help you develop and thrive. When you make your tomorrow with us, we’ll enhance your potential to realize the best in yourself. Below are benefits available to you when you join Carilion:

  • Employer Funded Pension Plan, vested after five years (Voluntary 403B)
  • Comprehensive Medical, Dental, & Vision Benefits
  • Flexible Work Arrangements/Schedules
  • Remote Work Options
  • Paid Time Off (accrued from day one)
  • Onsite fitness studios and discounts to our Carilion Wellness centers
  • Access to our health and wellness app, Virgin Pulse
  • Discounts on childcare
  • Continued education and training

Find more about Carilion Clinic’s benefits by vising our Total Rewards Page.

Equal Opportunity Employer
Minorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity
Carilion Clinic is a drug-free workplace.

Nearest Major Market: Roanoke

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