Patient Benefits Specialist

RiseMe; Langhorne (Bucks County); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Family-owned company

Business-casual environment

Growth opportunities

Drug-free workplace

Job summary

RiseMe in Langhorne, PA is seeking a Patient Benefits Specialist to verify insurance benefits, coordinate pre-authorizations, and ensure accurate billing with clarity and compassion.

You will verify eligibility, gather documents, code and process work orders, and clearly explain coverage and patient financial responsibilities. Collaboration with physicians, payers, and staff is essential.

Qualifications

• Proven ability to communicate effectively with patients, providers, and insurance representatives.
• Strong organizational skills with an eye for detail and accuracy.
• Ability to work independently in a fast-paced environment.

Responsibilities

• Verify patient insurance eligibility and obtain pre-certifications.
• Collect and prepare required documentation to meet payer guidelines (PPO, HMO, Managed Care).
• Code and process work orders for accurate data entry and billing.
• Communicate clearly with patients about coverage details, financial responsibilities, and billing questions.
• Collaborate with physicians, payers, and patients to resolve insurance and billing inquiries.

Skills

Communication skills

Organizational skills

Independent work ability

Medical terminology knowledge

Education

High school diploma or equivalent

Tools

Microsoft Office Suite

Job description

Patient Benefits Specialist - Full time - Langhorne, PA Are you looking to grow your career in healthcare administration with a company that values people and teamwork? Join our family-owned, fast-growing prosthetics and orthotics companyin Langhorne, PA, as a Patient Benefits Specialist. You'll play a vital role in supporting patients by verifying insurance benefits, coordinating pre-authorizations, and ensuring accurate billing- helping patients navigate their care and receive their product with clarity and compassion.

What You'll Do:

• Verify patient insurance eligibility and obtain pre-certifications
• Collect and prepare required documentation to meet payer guidelines (PPO, HMO, Managed Care)
• Code and process work orders for accurate data entry and billing
• Communicate clearly with patients about coverage details, financial responsibilities, and billing questions
• Collaborate with physicians, payers, and patients to resolve insurance and billing inquiries
• Ensure patient files are complete and compliant before submission to billing
• Support efficient workflow and maintain professional, courteous communication throughout
• Assist with additional tasks as directed by supervisors

What We're Looking For:

• Proven ability to communicate effectively with patients, providers, and insurance representatives
• Strong organizational skills with an eye for detail and accuracy
• Ability to work independently in a fast-paced environment
• Proficiency with Microsoft Office Suite (Outlook, Word, Excel)
• High school diploma or equivalent
• Medical terminology or coding knowledge is a plus
• Commitment to professionalism, confidentiality, and delivering excellent customer service

Why Join Us?

• Be part of a family-owned company where leadership is engaged and supportive
• Work in a business-casual, collaborative environment that values your contributions
• Competitive compensation package with opportunities for growth and development
• Make a meaningful difference in patients' healthcare journeys every day

This is a drug-free workplace. Employment contingent on background check and drug screening.

Ready to make an impact? and join a team where your skills and dedication truly matter.