Benefits Coordinator

Colorado Sleep Institute • Longmont, CO

390d • $37,440 - $41,600

About The Position

The Benefits Coordinator at Colorado Sleep Institute is responsible for overseeing and coordinating the authorization and benefits staff, ensuring compliance with Medicare and commercial insurance policies. This role emphasizes excellent customer service, attention to detail, and effective communication with patients and staff regarding insurance coverage and medical necessity documentation.

Requirements

• High school diploma required.
• 0 to 1 years of knowledge and experience with Medical billing preferred.
• 1 to 3 years of medical office experience preferred.
• 1 to 3 years of knowledge and experience with DME billing preferred.
• 1 to 3 years of knowledge and experience of Government/Commercial payor policies and Compliance requirements.

Nice To Haves

• Excellent customer service skills.
• Ability to think quickly to resolve issues.
• Attention to detail.

Responsibilities

• Maintain knowledge of Medicare NCD/LCD policy requirements relating to products and services billed by the company.
• Maintain knowledge of commercial insurance policy requirements relating to products and services billed by the company.
• Maintain knowledge of Medical Necessity requirements relating to products and services billed by the company.
• Ensure all required medical necessity documentation is on file for prescribed service/product.
• Ensure all medical policies are up to date relating to products and services billed by the company.
• Complete Prior-authorization and Pre-determinations and patient benefit estimates for assigned services.
• Speak with customers regarding their insurance coverage and corresponding cost estimates, setting up financial payment arrangements for patients.
• Educate patients on Advanced Beneficiary Notice if applicable.
• Collect patient payments over the phone.
• Update billing cases in patient charts regarding billing status/payment plan and authorization requirements.
• Create Letters of Medical Necessity for services billed by the company.
• Act as a point of contact for any physician questions regarding medical policy requirements on services provided by the company.
• Work on cases pertaining to benefits questions applicable to the Benefit Coordinator position.
• Provide direct day-to-day oversight of Benefit and Authorization processes, ensuring smooth operations.
• Regularly communicate with Revenue Cycle Manager and fellow department Team Leads regarding potential operational problems.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401(k) matching
• Paid time off

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED