Patient and Insurance Coordinator

Vascular Care Specialists; Brockton (MA); On-site; USD 42,000 - 54,000; Full time

Benefits offered by this job

Competitive Pay

Medical, Dental and Vision Insurance

Life/AD&D Insurance

Long-Term and Short-Term Disability

Job summary

The Patient and Insurance Coordinator at Vascular Care Specialists in Brockton, MA handles front desk duties, scheduling, registration and insurance verification to support timely patient care.

Strong knowledge of health insurance processes, eligibility, referrals and prior authorizations is essential; the role involves insurer communications, documentation in the EMR, and delivering excellent patient service while upholding HIPAA compliance.

Qualifications

• The incumbent must have a minimum of a High School Diploma or equivalent and 1–2 years of medical office experience.
• Knowledge of health insurance terminology, eligibility, benefits verification, referrals, and prior authorizations is required.
• Ability to review demographic, insurance and authorization information with accuracy and attention to detail.

Responsibilities

• Assist front desk operations: answer phones, greet patients, update demographics, check-in/out with professional service.
• Schedule visits, tests, and procedures and coordinate follow-up care while noting missing requirements.
• Obtain, file, and maintain medical records, referrals, authorizations, and HIPAA-compliant documentation.
• Verify eligibility and benefits, obtain referrals and prior authorizations, and resolve payer issues.
• Maintain EMR records of insurance verification, referrals, and communications; assist patients with questions.

Skills

Customer service

HIPAA compliance

Time management

Attention to detail

Communication skills

Teamwork

Independence

EMR systems

Microsoft Office

Data entry

Education

High School Diploma or equivalent

Tools

EMR systems

Microsoft Office

Data entry

Job description

Position:Patient and Insurance Coordinator

Location: Brockton, MA

Job Id:119

# of Openings:1

Patient and Insurance Coordinator

Department: Non-Clinical Staff
Reports To: Practice Administrator
Location: Brockton, MA
Pay Status: Full Time, Hourly, Non-Exempt

Position Summary

The Patient and Insurance Coordinator is responsible for providing exceptional patient service while coordinating the administrative and insurance-related activities necessary to support timely and efficient patient care. This position serves as an initial point of contact for patients and visitors and is responsible for patient scheduling, registration, insurance verification, referrals, prior authorizations, and coordination of required documentation.

Strong knowledge of health insurance processes is an essential component of this role. The Patient and Insurance Coordinator must have a thorough understanding of insurance eligibility, benefits, referrals, authorizations, payer requirements, and the ability to identify and resolve insurance-related issues that may delay or prevent patient care. The incumbent is expected to proactively identify potential insurance barriers and work with patients, insurance companies, referring offices, and clinical staff to resolve issues in a timely manner.

1. Patient Communication and Administrative Support

• Assist with front desk operations, including answering phones, greeting patients, updating demographics, handling check-in/check-out, and providing professional customer service.
• Schedule office visits, diagnostic testing, and procedures; coordinate follow-up care and identify missing requirements before appointments.
• Obtain and maintain medical records, referrals, authorizations, and other required documentation. Scan, fax, file, and maintain accurate patient records while ensuring HIPAA compliance.
• Perform other administrative duties as assigned by the Practice Administrator

2. Insurance, Referrals & Authorizations

• Verify eligibility and benefits, identify coverage requirements, obtain referrals and prior authorizations, and resolve payer issues.
• Communicate directly with insurance companies and referring offices to clarify benefits, obtain required information, and resolve authorization or coverage barriers that could delay patient care.
• Ensure insurance eligibility, referral, authorization, and documentation requirements are completed before scheduled services.
• Maintain accurate records of insurance verification, referrals, authorizations, and payer communications in the EMR.
• Assist patients with general insurance and financial-responsibility questions and escalate complex billing matters appropriately.

Required Experience, Education & Qualifications

The incumbent must possess a minimum of a High School Diploma or equivalent and 1–2 years of medical office experience, preferably in a physician practice or specialty setting. Demonstrates knowledge and experience with health insurance eligibility, benefits verification, referrals, prior authorizations, and payer requirements is required.

• Strong understanding of medical insurance terminology, eligibility, benefits, referrals, authorizations, and coverage requirements.
• Ability to recognize and address insurance issues that may impact patient care.
• Strong attention to detail and accuracy, particularly when reviewing demographic, insurance, referral, and authorization information.
• Excellent organizational and time-management skills with the ability to prioritize multiple responsibilities and meet deadlines.
• Strong customer service skills and professional telephone etiquette.
• Ability to work effectively under pressure and handle difficult or sensitive situations professionally.
• Ability to work independently, take initiative, and follow through on outstanding issues.
• Working knowledge of EMRs, electronic insurance eligibility systems, email, Microsoft Office products, data entry, and other business office systems.
• Strong oral and written communication skills.
• Ability to work collaboratively as part of a team and support the goals and objectives of the Practice.
• Commitment to maintaining patient confidentiality and adhering to HIPAA regulations.
• Competitive Pay
• Medical, Dental and Vision Insurance
• Life/AD&D Insurance
• Long-Term and Short-Term Disability Insurance