Healthcare Representative

Change Healthcare is a leading healthcare technology company with a mission to inspire a better healthcare system. We deliver innovative solutions to patients, hospitals, and insurance companies to improve clinical decision making, simplify financial processes, and enable better patient experiences to improve lives and support healthier communities.

As a Healthcare Representative, you will interview and advocate for patients and their families to obtain maximum benefit coverage in a hospital or home health setting.

Make a real-world impact helping patients with a rewarding career at Change

Healthcare. Bilingual candidates are strongly encouraged to apply!

​Travel: Beth Israel Deaconess Medical Center

Hours: Monday-Friday; 8:00 AM - 5:00 PM

What will be my duties and responsibilities in this job?

• Interview patients in a hospital setting and/or home visits and work effectively with hospital personnel to assist patients with obtaining maximum benefit coverage
• Complete applications for state and federal programs (including Health Exchange/Marketplace programs)
• Achieve and maintain certification designation as “Certified Application Counselor”
• Review medical records and take all necessary actions to expedite benefit approval
• Adhere to company and legal standards regarding Protected Health Information (PHI), Personal Identifiable Information (PII) and Personnel Transaction Identifier (PTI)
• Maintain ongoing communication with government agencies regarding the status of claims
• Provide updates and assistance to hospital personnel and other Change Healthcare staff as needed
• Maintain documentation of status of claims and client contract on Change Healthcare and/or hospital computer systems
• Determine when to use a Federal, State or Local program application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.

What are the requirements needed for this position?

• 1-3 years of relevant hospital and healthcare experience
• High School Diploma or equivalent
• Demonstrated experience with strong work ethics and confidentiality pertaining to medical records
• Intermediate computer/tablet skills and proficiency with Microsoft Office applications (Outlook, Excel and PowerPoint)

What other skills/experience would be helpful to have?

• Bilingual candidates preferred - Spanish or Portugese Creole is highly preferred for this location

• 4-year college degree preferred
• Knowledge of federal and state programs that will benefit coverage for clients
• Demonstrated experience working with people of various educational and socioeconomic backgrounds

What are the working conditions and physical requirements of this job?

• General office demands
• Prolonged periods of standing and walking in hospital facilities
• Ability to travel
• Adherence to facility masking requirements at all times

How much should I expect to travel?

• 10-15 % travel may be required. Employees in roles that require travel will need to be able to qualify for a company credit card or be able to use their own personal credit card for travel expenses and submit for reimbursement.

Unique Benefits:

• Full-Time employees receive Paid Time Off (PTO), eight (8) paid holidays and two (2) floating holidays
• Volunteer days, employee giving and matching gifts programs, community awards and dollars for doers, community partnerships
• Ready, Set, Grow Career Development Center & access to Change Healthcare University for continuous professional learning & development with more than 5,000 training assets
• Your choice of four medical plans & My Healthy Changes well-being program
• US 401(k) savings plan, tax free health savings (HSA) and flexible spending accounts (FSA) and educational assistance for eligible employees
• Dependent Care Flexible Spending Accounts provide pre-tax money for your eligible dependent day care expenses
• Resources for Living provide tools to find family childcare that fit your needs
• Learn more about Total Rewards at https://careers.changehealthcare.com/

Diversity and Inclusion:

• At Change Healthcare, we include all. We celebrate diversity and inclusivity, respect each other and value our unique experiences. By being our authentic selves, we bring different perspectives into our work and relationships.
• Business Resource Groups (BRGs) play a central role in advancing diversity and inclusion at Change Healthcare. They deepen our understanding of different cultures, people, and experiences, and help foster an inclusive workplace. Change offers eight (8) BRGs. Learn more at https://careers.changehealthcare.com/diversity

Feeling Inspired? Ready to #MakeAChange? Apply today!