Client Benefits Coordinator (56190)

SUMMARY

The Client Benefits Coordinator is responsible for obtaining insurance pre-authorizations, assisting clients with obtaining and maintaining health insurance coverage, submitting insurance claims, and following up on account receivables. The Client Benefits Coordinator works closely with members of the clients care team (including social worker) to address any barriers to maintaining maximum insurance coverage. 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and responsibilities may be assigned.

Core Responsibilities

• Assist clients with the process of obtaining and maintaining maximum insurance coverage, including identifying available health care insurance options as needed. 

• Remain current on available insurance options, including eligibility and enrollment requirements. 

• Work closely with members of the client care team (including social worker) to address any barriers to maintaining insurance coverage.

• Enter and maintain insurance coverage and related demographic information in the billing system.  

• Submit insurance claims, timely.

• Follow up with payers to ensure timely and appropriate reimbursement.

• Monitor the status of and work to close pending insurance claims and outstanding patient balances per departmental goals. 

• Work closely with community and governmental agencies, including Social Security and Medicare, and private insurance companies to assist clients in resolving insurance problems.  

• Send out regular account statements to clients.

• Reach out to clients regarding unpaid account balances.  

• Entered detailed records in the billing system of all activities taken to process a claim and/or collect patient balances. 

• Perform other duties as assigned

COMPETENCIES (KSAs)

• Leadership

• Initiative

• Ethical Practices

• Judgment       

• Relationship Management

• Emotional Intelligence

• Professional Boundaries

• Global and Cultural Awareness

• Critical Evaluation

• Problem Solving

• Decision Making

• Communication

• Teamwork

• Crisis Management

• Technical Capacity

REQUIRED EDUCATION

• High school diploma or equivalent.

REQUIRED LICENSE/CERTIFICATIONS

• None

REQUIRED EXPERIENCE

• Two years of related experience, required.

• Experience with Microsoft Office software suite, required. 

• Experience with insurance and third-party billing associated with health care benefits and medical terminology, preferred. 

WORK ENVIRONMENT

• This job operates in an indoor office environment.  This role routinely uses standard office equipment such as computers, phones and photocopiers. 

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this position.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.

• Regularly required to sit, use hands to type, handle or feel objects, tools or controls; reach with hands and arms, and talk or hear.

• Frequently required to stand, walk, stoop, kneel or crouch and lift and/or move up to 30 pounds.

Salary : $23 - $25