Benefits Coordinator

United Community Health Center•Green Valley, AZ

just now

About The Position

Benefits Coordinator is a key position in two ways: First, the employee allows the patients to feel that they are being treated fairly in terms of customer service. Second, the employee will verify eligibility and benefits according to patient’s insurance.

Requirements

High School Graduate plus 3-5 years of experience in the medical field.
Reliable means of transportation and proof of valid vehicle insurance.
Valid Arizona driver’s license.
Computer literacy required with knowledge of practice management software, electronic claims, proficient in Microsoft Office products.
Ability to communicate effectively with patients, insurance company representatives and co-workers both verbally and in writing using the English language.
Solid problem solving and decision-making capabilities and the ability to handle stressful and urgent situations primarily involving patient billing concerns.
Well organized, ability to prioritize, good planning skills, patience, self-starter and positive attitude.
Attention to detail and ability to work independently. Prior accounting/bookkeeping experience desirable.
Ability to add, subtract, multiply and divide all units of measure, using whole numbers, fractions and decimals. Ability to compute rate, ratio, and percent and to draw and interpret graphs such as bar graphs and pie charts.
Knowledge of medical terminology and anatomy a plus.
A positive, professional attitude.
A team player; able to work in and foster a team environment.

Nice To Haves

Ability to speak Spanish is desirable, but not required.
Prior accounting/bookkeeping experience desirable.
Knowledge of medical terminology and anatomy a plus.

Responsibilities

Verify eligibility for patients before, during and after the encounter for all UCHC clinics
Insurance verification is required for patient scheduled up to 4 days in advance.
Expedite eligibility for same date acute visits.
Coordination of benefits is required for primary, secondary or tertiary insurance.
If previous insurance information is termed, COB specialist needs to update patient’s insurance.
Benefit coordinator staff needs to verify if provider assigned to patient for the appointment by the front desk is contracted with patient’s insurance to avoid denials.
Notate any insurance restrictions for front desk staff when they go to collect at the time of the visit
Benefit coordinator needs to verify benefits for patients before, during and after the appointment if necessary.
Enter billing notes in regards to copay, coinsurance and deductible that patient may have according with patient’s plan.
Answer any inquiry made by any internal department such as Providers, Nurses, Referrals, Labs and billing staff in regards to coverage for patient in specific plan.
Expertise in insurances assigned to each benefit specialist.
Achieve production goals assigned by Patient Account Supervisor completing the tasks in a timely manner.
Support new UCHC phone system with patients’ calls.
Enter new patients’ registrations.
Attends and participates in staff meetings and all mandatory training sessions
Assists billers and coders in regards to eligibility, benefits, reviews, appeals and updates required to complete or reprocess patient’s claims.
Other duties as assigned.