Insurance Benefit Specialist

Highbar Physical Therapy; Providence (RI); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Medical, Dental & Vision

401(k)

Disability insurance

Life insurance

Fitness & Wellness program

Paid holidays and paid time off

Flexible work hours

Volunteer opportunities

Job summary

Highbar Physical Therapy is seeking an Insurance Benefits Specialist to verify benefits, explain coverage, and support clean claims processing. You will gather patient details, submit to carriers, and coordinate with providers to obtain referrals as needed.

Responsibilities include supporting Patient Care Coordinators, researching coverage details, and assisting other departments such as Billing and Front Office to resolve complex benefit issues.

Qualifications

• Requires basic understanding of health insurance benefits.
• Preference for knowledge of medical insurance authorization.

Responsibilities

• Verify insurance benefits and explain coverage details to patients.
• Obtain detailed patient information to submit to insurance carriers accurately.
• Contact healthcare providers to obtain referrals or additional information when needed.
• Maintain strong attention to detail to transpose data correctly.
• Guide Patient Care Coordinators through complex accounts.
• Research benefit coverage to assist patients with inquiries.
• Assist Billing and Front Office as needed.

Skills

Attention to detail

Insurance benefits knowledge

Education

High School Diploma or GED

Job description

The Insurance Benefits Specialist is responsible for verifying insurance benefits, explaining coverage details, and assisting with benefits-related inquiries. The role also includes insuring compliance with insurance guidelines to support clean claim processing.

What You'll Do:

• Identify and solve complex insurance benefit issues.
• Obtain detailed patient information to accurately submit to the proper insurance carriers.
• Contact health care providers to obtain referrals or additional information as necessary.
• Must maintain strong attention to detail to transpose data and information accurately.
• Guide and assist Patient Care Coordinators through difficult accounts.
• Provide information and assist patients when help is needed byresearching benefit coverage.
• Assist other departments as needed, including Billing and Front Office.

Qualifications:

• Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits.
• Preference will be given to candidates with medical insurance and authorization knowledge.

Compensation Package:

• Starting at $20/hour, with compensation adjusted based on experience, skills, and role alignment
• We also offer a comprehensive benefits package including Medical, Dental & Vision; 401(k); voluntary disability and life insurance options; Fitness & Wellness program; paid holidays and paid time off; flexible work hours; community volunteer opportunities, and more.