Patient Benefits Coordinator

Aquacare & Fitness Forum Physical Therapy•Salisbury, MD

1d•$19 - $23

About The Position

Aquacare & Fitness Forum Physical Therapy is seeking a motivated, detail-oriented Patient Benefits Coordinator to support its outpatient physical therapy team. The role focuses on verifying insurance eligibility and benefits, obtaining and maintaining required authorizations, monitoring authorization limits and expiration dates, and communicating insurance-related information to patients and internal team members. The coordinator reviews insurance benefits for scheduled services, including co-insurance, deductibles, and in- and out-of-network coverage, and interprets verification information to estimate patient financial responsibility for scheduled services and inpatient stays. The role also serves as a liaison to ensure appropriate custodial issues are resolved before a patient arrives. Aquacare & Fitness Forum Physical Therapy is a locally owned and operated practice serving Maryland and Delaware for over 27 years. The organization describes its team as collaborative and patient-centered, and highlights specialty physical therapy services across a range of clinical areas.

Requirements

High school diploma, GED, or equivalent.
Generally 1 to 3 years of experience in medical insurance verification, medical billing, or healthcare administration.
Familiarity with electronic health record or electronic medical record systems.
Working knowledge of medical terminology, CPT procedure codes, and ICD-10 diagnosis codes.
Ability to navigate commercial insurance carrier websites, Medicare portals, and regional Medicaid programs, including Maryland Medicaid and Delaware state-managed plans.
Familiarity with EMR workflows, including data entry, documentation, patient account management, and system workflows.
Strong basic computer skills, data entry skills, and ability to learn and navigate medical billing and practice management software.
Experience obtaining clinical pre-certifications and prior authorizations through insurance carrier phone systems and online portals.
Understanding of and strict adherence to HIPAA regulations, patient confidentiality, and applicable privacy requirements.
Ability to multitask and work independently in a fast-paced environment while maintaining quality and accuracy.
Clear verbal and written communication skills.
Strong attention to detail and accuracy.

Responsibilities

Verify patients’ insurance eligibility and benefits.
Obtain and maintain required clinical pre-certifications and prior authorizations.
Monitor authorization requirements, approved visits, remaining visits, and expiration dates.
Communicate insurance-related information to patients and internal team members.
Review benefit information for scheduled services, including co-insurance, deductibles, and in- and out-of-network benefits.
Interpret insurance verification information to estimate patient financial responsibility for scheduled services and inpatient stays.
Discuss out-of-pocket costs with patients and resolve eligibility discrepancies with insurance carriers.
Accurately enter policy numbers, group numbers, effective dates, and benefit tiers to help prevent claim denials.
Act as a liaison to ensure appropriate custodial issues are resolved before patients arrive.