Patient Benefit Coordinator / Full Time / Days

Wood County Hospital; Bowling Green (OH); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health, dental, and vision plans

Competitive wages

Prescription drug coverage

Flexible spending accounts

Life insurance with AD&D

Disability plans

Employer-matched 403(b)

Pension plan

Vacation and holidays

Tuition reimbursement

Job summary

Wood County Hospital in Bowling Green, OH is seeking a Patient Benefit Coordinator to verify insurance coverage, obtain authorizations, and document benefit details. This full-time, day-shift onsite role collaborates with patients, providers, and payers to ensure accurate reimbursement and compliant revenue cycle operations.

You will work to prevent denials by securing timely authorizations and communicating coverage information to the care team, while supporting the safety culture and providing

Qualifications

• Education: High School Diploma or GED.
• Experience: None.
• Certification: None.
• License: None.

Responsibilities

• Verify insurance eligibility and registration accuracy with departments and offices.
• Obtain precertifications and authorizations from insurers with supporting docs.
• Record benefit details and communicate coverage info to physicians, staff and patients.
• Manage denials and appeals within required timeframes.
• Support revenue cycle operations and regulatory compliance activities.
• Maintain a culture of safety and teamwork.

Skills

Customer service

Attention to detail

Communication skills

Healthcare financials

Education

High School Diploma or GED

Tools

MCG system

Insurance software

Job description

Elevate your career at Wood County Hospital, where you're not just a number – you're a vital part of a team making a real difference.

Patient Benefit Coordinator / Full Time / Days

The Coordinator, Patient Benefits is responsible for verifying insurance coverage, securing required authorizations and precertification, documenting and communicating benefit information, and coordinating with patients, providers, and payers to ensure accurate reimbursement, regulatory compliance, and seamless revenue cycle operations. The Coordinator, Patient Benefits is an onsite position.

Essential Functions

• Verify insurance eligibility and registration accuracy by obtaining registration and scheduling documentation from ancillary departments and surgery; verify and correct insurance information; and contact physician offices to secure updated coverage details as needed.
• Secure precertification and authorizations through initiating contact with insurance companies and third-party payers to obtain required precertification; gather and submit supporting clinical documentation; coordinate with utilization review staff; and enter admissions into MCG when applicable.
• Document and communicate benefit information by recording detailed benefit verification information—including deductibles, coinsurance, exclusions, referral requirements, and limitations—in account notes and verification forms; and professionally communicate coverage details to physicians, staff, and patients.
• Manage denials and appeals by initiating and monitoring precertification appeals within required timeframes; follow up with payers for status updates; and submit additional documentation to support medical necessity and authorization approval.
• Perform revenue cycle operations and regulatory compliance activities, including financial services projects, reporting, system updates, medical record requests, and ongoing monitoring of insurance and government regulatory requirements impacting benefits and prior authorization.
• Prepare, prevent, protect and respond to support our culture of safety.
• Works hours per week in accordance with offer letter or per attributes of position at transfer request. May be expected to work longer hours as necessary.
• Other duties as assigned.

Requirements

Education: High School Diploma or GED

License: None

Experience: None

Certification: None

Preferred

Education: None

License: None

Experience: None

Certification: None

Benefit Summary

Join our team, and you’ll have access to a cutting-edge facility with state of the art technology. You’ll also interact with some of the region's top notch healthcare professionals. You’ll find plenty of opportunities to grow and advance your career.

We’ll Also Reward Your Hard Work With

• Great health, dental and vision plans
• Competitive wages
• Prescription drug coverage
• Flexible spending accounts
• Life insurance w/AD&D
• Generous short term and long term disability plans
• Employer-matched 403(b)
• Employer sponsored cash balance pension plan
• Vacation and Holiday time
• Generous tuition reimbursement
• And a lot more!