Patient Benefits Coordinator- Salisbury MD

Aquacare & Fitness Forum Physical Therapy•Easton, MD

1d•$19 - $23

About The Position

Aquacare & Fitness Forum Physical Therapy is seeking a motivated, detail-oriented Patient Benefits Coordinator to support its physical therapy services. The role focuses on insurance benefits verification, authorization management, and customer service. Responsibilities include verifying insurance eligibility and benefits; obtaining and maintaining authorizations; monitoring authorization limits, approved visits, and expiration dates; and communicating insurance-related information to patients and internal team members. The coordinator reviews scheduled-service benefits, including coinsurance and deductibles, compares in-network and out-of-network benefits, and estimates patients’ financial responsibility for scheduled services and inpatient stays. The role also communicates out-of-pocket costs, resolves eligibility discrepancies with insurance carriers, and helps ensure appropriate custodial issues are resolved before patient arrival. This position may combine in-person and virtual work, and candidates need to live in the area of Annapolis or Salisbury, Maryland, or Lewes, Delaware.

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, and patient account management.
Strong basic computer and data-entry skills, with the 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, including the ability to discuss out-of-pocket costs with patients and resolve eligibility discrepancies with insurance carriers.
High attention to detail when entering policy numbers, group numbers, effective dates, and benefit tiers.
Must live in the area of Annapolis or Salisbury, Maryland, or Lewes, Delaware.

Responsibilities

Verify insurance eligibility and benefits for patients.
Obtain and maintain required clinical pre-certifications and prior authorizations through insurance phone systems and online portals.
Monitor authorization requirements, approved visits, authorization limits, expiration dates, and remaining visits.
Communicate insurance-related information to patients and internal team members.
Review benefits for scheduled services, including coinsurance and deductibles, and compare in-network and out-of-network benefits.
Estimate and communicate patients’ financial responsibility for scheduled services and inpatient stays.
Resolve eligibility discrepancies with insurance carriers.
Help ensure appropriate custodial issues are resolved before the patient’s arrival.
Enter and document patient, policy, and benefit information accurately in electronic medical record and practice management systems.
Maintain patient confidentiality and comply with HIPAA and applicable privacy requirements.