Patient Benefit Coordinator

usrs2; United States; Hybrid; USD 42,000 - 65,000; Full time

Job summary

usrs2 is seeking a detail-oriented eligibility verification professional to verify patient insurance eligibility, benefits, and authorization requirements while delivering accurate time of service estimates.

Candidate will apply medical terminology knowledge, HIPAA regulations, and maintain high productivity. Ability to work onsite or remote as needed, with strong communication and data interpretation skills.

Qualifications

• High school diploma or equivalent.
• Previous verification experience preferred.
• Must have good verbal and written communication skills.
• Ability to organize and interpret data.
• Ability to utilize good judgment to problem solve.
• Ability to work independently and in a team environment.
• Ability to use a computer, related software/programs, and multiple screens.
• Ability to work onsite or remote as needed.

Responsibilities

• Verify patient’s insurance eligibility, benefits and auth requirements via online or phone.
• Calculate and provide Time of Service Estimates.
• Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulation
• Communicate any insurance changes or trends among team.
• Maintains a level of productivity suitable for the department.
• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.
• Update data entry errors for clean billing purposes.
• Request clinical/medical records when needed.
• Other Duties as assigned.

Skills

Communication

Data interpretation

Problem solving

Teamwork

Computer skills

Remote/onsite flexibility

Education

High school diploma

Job description

POSITION SUMMARY:

Responsible for verifying eligibility, benefits, and providing time of service estimates.

Essential Duties and Responsibilities:

• Verify patient’s insurance eligibility, benefits and auth requirements via online or phone.


• Calculate and provide Time of Service Estimates.


• Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulation


• Communicate any insurance changes or trends among team.


• Maintains a level of productivity suitable for the department.


• Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.


• Update data entry errors for clean billing purposes.


• Request clinical/medical records when needed.


• Other Duties as assigned.

Minimum Qualifications:

Education/Licensing/Certification:

• High school diploma or equivalent

Experience (years and type):

• Previous verification experience preferred.

Knowledge and Skills:

• Must have good verbal and written communication skills.


• Ability to organize and interpret data.


• Ability to utilize good judgment to problem solve.


• Ability to work independently and in a team environment.


• Ability to use a computer, related software/programs, and multiple screens.


• Ability to work onsite or remote as needed.