Patient Benefit Advisor - Riverside Community Hospital in Riverside, CA at Parallon

Date Posted: 3/11/2018

Job Snapshot

  • Employee Type:
  • Location:
    4445 Magnolia Avenue
    Riverside, CA
  • Job Type:
  • Experience:
    At least 3 year(s)
  • Date Posted:

Job Description

GENERAL SUMMARY OF DUTIES – Responsible for conducting eligibility screenings, assessment of patient financial requirements, and counseling patients on insurance benefits and co-payments.  The Benefits Advisor serves as a liaison between the patient, hospital, and governmental agencies; and is actively involved in all areas of case management.



•        Screen and evaluate patients for existing insurance coverage, federal and state assistance programs, or hospital charity application.

•        Re-verifies benefits and obtains authorization and/or referral after treatment plan has been discussed, prior to initiation of treatment.

•        Ensures appropriate signatures are obtained on all necessary forms.

•        Obtain legally relevant medical evidence, physician statements and all other documentation required for eligibility determination.

•        Complete and file applications.

•        Initiate and maintain proper follow-up with the patient and government agency caseworkers to ensure timely processing and completion of all mandated applications and accompanying documentation.

•        Ensure all insurance, demographic and eligibility information is obtained and entered into the system accurately.

•        Document progress notes to the patient’s file and the hospital computer system.

•        Participates in ongoing, comprehensive training programs as required.

•        Follows policies and procedures to contribute to the efficiency of the office.

•        Covers and assists with other office functions as requested.

•        Will be required to make field visits as necessary.

•        Adheres to and supports organizational IT&S standards, policies, and procedures.

•        Adheres to Code of Conduct.

•        Performs other duties as assigned.

Job Requirements


•       Working knowledge of medical terminology, practices and procedures, as well as laws, regulations, and guidelines.

•       An understanding of patient confidentiality to protect the patient and the clinic/corporation.

•       Demonstrated communication, problem solving and case management skills and the ability to act/decide accordingly.

•       Ability to collect, synthesize and research complex or diverse information.

•       Exceptional customer service and the ability to plan organize and exercise sound judgment.



•       College degree preferred or high school diploma (equivalent).



•        A minimum three years of hospital/medical business office experience with insurance procedures and patient interaction.

•        Strong familiarity with a variety of the field’s concepts, practices and procedures.