Insurance Benefit Specialist

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

Benefits offered by this job

Medical insurance

Dental & Vision

401(k)

Disability & life insurance

Wellness program

Paid holidays

Paid time off

Flexible hours

Volunteer opportunities

Job summary

Highbar Physical Therapy is seeking an Insurance Benefits Specialist to verify benefits, explain coverage, and assist with benefits inquiries, ensuring compliant and accurate claim submissions.

You will gather detailed patient information, communicate with health care providers, and support Patient Care Coordinators, Billing, and Front Office while maintaining meticulous attention to detail.

Qualifications

• High school diploma or GED required or equivalent.
• Basic understanding of health insurance benefits preferred.

Responsibilities

• Verify insurance benefits and explain coverage to patients.
• Obtain and submit accurate patient information to insurers.
• Contact providers to obtain referrals or information as needed.
• Assist Patient Care Coordinators with difficult accounts.
• Research benefit coverage to answer patient questions.
• Support Billing and Front Office as needed.

Skills

Attention to detail

Strong communication

Data entry

Health insurance basics

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.