Medical Benefits Specialist

HER HEALTH OBGYN & FERTILITY CENTER, P.A.; El Paso (TX); On-site; USD 42,000 - 54,000; Full time

Job summary

HER HEALTH OBGYN & FERTILITY CENTER, P.A. seeks a full-time Medical Benefits Specialist in El Paso, TX to manage patient insurance benefits, verify coverage, and coordinate pre-authorizations for services.

You will review plans, explain benefits to patients, maintain benefits records, and collaborate with clinical and billing teams to ensure compliant benefits administration. Excellent communication and empathy are essential to help patients navigate their financial responsibilities and

Qualifications

• Demonstrated skills in Benefits Administration and working knowledge of Insurance plans and terminology.
• Experience with FMLA processes and related documentation.
• Strong Communication skills, including the ability to explain complex benefits information in a clear, patient-friendly manner.
• Proven Customer Service skills with a focus on empathy, professionalism, and problem-solving.
• Attention to detail, accuracy in data entry, and ability to manage multiple tasks in a fast-paced medical office.
• Prior experience in a healthcare, medical office, or insurance environment preferred.
• Familiarity with electronic health records (EHR) and medical billing systems is an advantage.
• High school diploma or equivalent required; additional training or certification in medical billing, coding, or benefits administration is beneficial.

Responsibilities

• Manage patient insurance benefits including verifying coverage and explaining benefits.
• Coordinate pre-authorizations for medical services and assist with claims questions.
• Review and interpret insurance plans and assist with benefits documentation.
• Maintain accurate benefits records and update patient accounts.
• Collaborate with clinical and billing teams to ensure compliant benefits administration.
• Address patient inquiries with clear communication and compassionate service.
• Support processes related to FMLA where applicable.

Skills

Benefits administration

FMLA knowledge

Communication skills

Customer service

Data entry accuracy

Multitasking

Education

High school diploma

Medical billing/coding training

Tools

EHR systems

Medical billing software

Job description

Company Description

HER HEALTH OBGYN & FERTILITY CENTER, P.A. is a civic and social organization focused on providing obstetrics, gynecology, and fertility care to the El Paso community. Located at 9398 Viscount Blvd in El Paso, Texas, the center serves patients and families across the region. The organization is dedicated to accessible, patient-centered reproductive health services. Team members collaborate across clinical and administrative functions to support quality care and a respectful patient experience. The work environment emphasizes professionalism, integrity, and community impact.

Role Description

The Medical Benefits Specialist is a full-time, on-site role based in El Paso, TX. This role is responsible for managing patient insurance benefits, including verifying coverage, explaining benefits, and coordinating pre-authorizations for medical services. The specialist reviews and interprets insurance plans, assists with claims-related questions, and helps patients understand their financial responsibilities. Day-to-day tasks include maintaining accurate benefits records, updating patient accounts, and collaborating with clinical and billing teams to ensure compliant and efficient benefits administration. The role also involves addressing patient inquiries with clear communication, providing compassionate customer service, and supporting processes related to the U.S. Family and Medical Leave Act (FMLA) where applicable.

Qualifications

• Demonstrated skills in Benefits Administration and working knowledge of Insurance plans and terminology.
• Experience with U.S. Family and Medical Leave Act (FMLA) processes and related documentation.
• Strong Communication skills, including the ability to explain complex benefits information in a clear, patient-friendly manner.
• Proven Customer Service skills with a focus on empathy, professionalism, and problem-solving.
• Attention to detail, accuracy in data entry, and ability to manage multiple tasks in a fast-paced medical office.
• Prior experience in a healthcare, medical office, or insurance environment preferred.
• Familiarity with electronic health records (EHR) and medical billing systems is an advantage.
• High school diploma or equivalent required; additional training or certification in medical billing, coding, or benefits administration is beneficial.