SCO Patient Benefits Coord

Southern California Orthopedic Institute•Bakersfield, CA

About The Position

The SCO Patient Benefits Coordinator supports patients with healthcare benefits by managing inquiries, verifying insurance coverage, and facilitating access to medical services. The role serves as a liaison among patients, healthcare providers, and insurance companies to resolve benefit-related issues accurately and efficiently. It requires maintaining current knowledge of insurance policies and healthcare regulations to support patient care, financial outcomes, patient satisfaction, and streamlined administrative processes. The coordinator interprets and communicates insurance information to patients and healthcare teams, uses electronic health records and insurance software to verify benefits and document interactions, and works with insurance providers and clinical staff. Analytical and interpersonal skills help resolve discrepancies and explain coverage clearly.

Requirements

  • High school diploma or equivalent required.
  • At least 2 years of experience in healthcare administration, patient benefits coordination, or insurance verification.
  • Strong knowledge of health insurance plans, medical billing, and healthcare terminology.
  • Proficiency with electronic health records (EHR) systems and insurance verification software.
  • Excellent communication and interpersonal skills for interacting effectively with patients and healthcare professionals.

Nice To Haves

  • Associate’s degree or higher.
  • Experience working in a hospital or clinical setting.
  • Familiarity with Medicaid, Medicare, and other government healthcare programs.
  • Certification in medical billing or patient benefits coordination.
  • Bilingual abilities to support diverse patient populations.

Responsibilities

  • Assist patients in understanding their health insurance benefits and coverage options.
  • Verify patient insurance eligibility and benefits before appointments or procedures.
  • Coordinate with insurance companies to obtain authorizations and resolve coverage issues.
  • Collaborate with healthcare providers to ensure accurate billing and documentation.
  • Maintain detailed records of patient interactions, insurance communications, and benefit verifications.
  • Educate patients about available financial assistance programs and help facilitate applications when applicable.
  • Monitor changes in insurance policies and healthcare regulations to provide accurate information.
  • Provide the healthcare team with timely updates on patient benefit status and coverage limitations.

Benefits

  • Competitive pay matched to abilities and experience.
  • Health coverage for the employee and family.
  • Generous number of vacation days per year.
  • Wellness plan and health club discounts.
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