Patient Benefits Coordinator

Position Highlights

• 1.0 FTE (40 hours per week)
• $21.24-$26.02/hour DOE with the ability to go higher for highly experienced candidates
• 100% employer-paid health insurance, including medical, dental, vision, Rx, 24/7 telemedicine
• Profit sharing & 403(b) retirement plan available
• Generous PTO, 8 paid holidays, and much more!

What You’ll Do

• Responds to patient billing questions and assists with resolving issues.
• PARTNERS WITH THE INTERNAL BILLING DEPARTMENT AND THE MEDICAID OFFICE AS NEEDED TO RESOLVE PATIENT BILLING AND INSURANCE ISSUES.
• PROVIDES INFORMATION TO PATIENTS AND CLIENTS ON BILLING AND PAYMENT PRACTICES.
• PROVIDES INFORMATION TO PATIENTS REGARDING THEIR INDIVIDUAL BILL INCLUDING ACCOUNT ACTIVITY AND BALANCE DUE.
• REVIEWS MEDICAL INSURANCE OPTIONS AND ELIGIBILITY REQUIREMENTS WITH CLIENTS INCLUDING MANAGED CARE PLANS AND OTHER SPECIAL PROGRAMS.
• ADVISES PATIENTS ON HOW TO UTILIZE THIRD PARTY RESOURCES TO SECURE NECESSARY MEDICAL CARE.
• AIDES CLIENTS WITH THE APPLICATION PROCESS FOR MEDICAL INSURANCE COVERAGE.
• REVIEW ELIGIBILITY REQUIREMENTS AND OBTAINS NECESSARY INFORMATION FOR THE APPLICATION.
• FILLS AND TRACKS APPLICATIONS PER GUIDELINES, SENDING REPORTS AS NEEDED.
• Educates clients on how to read and understand their medical insurance coverage.
• AIDES CLIENTS WITH RESOLVING ANY ISSUES WITH THEIR MEDICAL CARD OR BENEFITS COVERED BY THEIR CARD.
• MANAGES VARIOUS WORK QUEUES DAILY TO ENSURE TIMELY PROCESSING AND COMPLETION OF ACTIVITIES INCLUDING INSURANCE APPLICATIONS, DISCOUNTS PROVIDED AND MEDICAID.
• RECEIVES ANDASSESSES HARDHAT AND/OR WRITE-OFF REQUESTS.
• PREPARES AND SUBMITS ADJUSTMENT REQUESTS AS NEEDED AND FORWARDS TO THE INTERNAL BILLING DEPARTMENT.
• MANAGES BREAKS, LUNCHES, SICK CALLS AND OVERTIME.
• PROVIDES INSIGHTS TO LEADER REGARDING THE SKILL LEVEL AND PERFORMANCE OF THE EMPLOYEES.
• RESPONSIBLE FOR PROVIDING TRAINING TO NEW EMPLOYEES AND EXISTING STAFF WHEN NEEDED.
• PERFORMS QUALITY AUDITS AS DIRECTED.
• PERFORMS OTHER DUTIES AS ASSIGNED.

Qualifications

• High School Diploma or General Education Diploma (GED)
• One year's experience with billing credit and/or patient benefits, preferably in a medical office (including Medical Front Office roles with a billing aspect)
• Affordable Care Act (ACA) Certification. Must pass the ACA exam within 90 days of employment
• Experience in special programs such as State Managed Care plans preferred