Patient Benefits Specialist

Lawall; Pennsylvania; On-site; USD 42,000 - 54,000; Full time

Job summary

Lawall in Langhorne, PA is seeking a Patient Benefits Specialist to verify insurance benefits, coordinate pre-authorizations, and assist with accurate billing. You will support patients throughout their care journey with clear, compassionate communication and cross-functional collaboration.

The role requires strong organizational skills, attention to detail, and proficiency in Microsoft Office. A high school diploma is required, with medical terminology knowledge a plus.

Qualifications

• High school diploma or equivalent.
• Medical terminology knowledge is a plus.
• Strong communication and customer service skills.

Responsibilities

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

Skills

Communication

Organizational skills

Independent work

Customer service

Education

High school diploma or equivalent

Tools

Outlook

Word

Excel

Microsoft Office

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 company in 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.