Patient Benefits Navigator

Southern California Orthopedic Institute; Bakersfield (CA); On-site; USD 48,000 - 65,000; Full time

Benefits offered by this job

Competitive pay

Health coverage

Vacation days

Wellness plan

Health club discounts

Job summary

The Southern California Orthopedic Institute is seeking a Patient Benefits Coordinator to guide patients through insurance coverage, eligibility, and financial assistance to ensure access to care. You will liaise with patients, clinicians, and insurers to resolve benefit issues and improve satisfaction.

Minimum qualifications include a high school diploma (associate degree preferred), 2+ years in healthcare administration or insurance coordination, and proficiency with EHR systems and insurance

Qualifications

• High school diploma or equivalent; Associate’s degree or higher preferred.
• Minimum of 2 years in healthcare administration, patient services, or insurance coordination.
• Strong knowledge of health insurance plans, medical billing, and patient benefits processes.
• Proficiency with electronic health records (EHR) systems and insurance verification software.
• Excellent communication and interpersonal skills.

Responsibilities

• Assist patients in understanding health insurance benefits, coverage options, and eligibility criteria.
• Coordinate with insurance providers to verify patient benefits and resolve coverage issues or denials.
• Collaborate with healthcare providers and internal teams to ensure accurate billing and documentation related to patient benefits.
• Provide patients with information on financial assistance programs and help them complete necessary applications.
• Maintain detailed records of patient interactions, benefit verifications, and case resolutions to ensure compliance and quality service.
• Educate patients on changes in insurance policies and healthcare regulations that may impact their benefits.
• Support the development and implementation of process improvements to enhance patient benefits coordination.

Skills

Communication

Interpersonal skills

Analytical skills

Organizational skills

Problem-solving

Education

High School Diploma

Associate degree or higher

Bachelor's degree

Tools

EHR systems

Insurance verification software

Job description

The Southern California Orthopedic Institute is seeking a Patient Benefits Coordinator to guide patients through insurance coverage, eligibility, and financial assistance to ensure access to care. You will liaise with patients, clinicians, and insurers to resolve benefit issues and improve satisfaction.

Minimum qualifications include a high school diploma (associate degree preferred), 2+ years in healthcare administration or insurance coordination, and proficiency with EHR systems and insurance