Benefits Coordinator

Ally Pediatric Therapy , a specialty clinic for children with autism and other childhood disorders, is looking for an Authorization Coordinator to join our growing team.

Our purpose is to be an ally in growth to the children and families we serve. We do this by integrating the principles of applied behavior analysis (ABA) and speech-language pathology to deliver life changing therapy to our clients. This isn't just a job to us; we go home each day knowing we made a difference and think about how we can build on that tomorrow.

Job Summary: As a Benefits Coordinator in our Revenue Cycle department, you will play a pivotal role in ensuring the financial viability and patient satisfaction of our healthcare services. You will specialize in patient access, specifically through direct parent outreach to walk through benefit coverage, out-of-pocket costs, and payment plan options, and addressing billing issues. Your expertise will contribute to streamlined operations within patient access and enhance billing processes, directly impacting our ability to deliver outstanding care while maintaining fiscal health.

Core Values

• Be an Ally
• Embrace Growth
• Do What’s Right
• Have Fun!

Position Responsibilities:

• Verify insurance benefits and eligibility for services provided by the facility through direct contact with insurance providers, utilizing online verification systems, or through EDI technology.
• Interpret and communicate insurance benefits and patient financial responsibility to parents and billing teams.
• Coordinate closely with authorizations and billing staff to facilitate seamless patient entry into healthcare services, from registration through discharge.
• Collaborate with billing and coding teams to address discrepancies in charges, ensuring accurate billing according to insurance contracts.
• Assist in the resolution of patient billing inquiries and disputes, providing detailed explanations of benefits and claims status as needed.
• Maintain up-to-date knowledge of changing insurance policies, regulations, and billing practices pertinent to healthcare revenue cycle management.
• Participate in training and development sessions to stay current with the latest practices and tools in patient access and healthcare billing.
• Prepare and submit reports on patient access statistics, billing issues, and insurance verification challenges.
• Support the Revenue Cycle Management team in ad-hoc projects and initiatives aimed at improving patient satisfaction and operational efficiency.

Requirements

• Bachelor’s Degree in Business/Healthcare Administration, Finance, or Information Systems, preferred
• High School Diploma, required
• Minimum of 5 years’ Experience in a Medical/Behavioral Health Group Practice with Emphasis on Back-Office Functions, strongly preferred
• Comprehensive Knowledge of Claims Management, HIPAA standards, Insurance Benefits knowledge

• Excellent technology and computer skills, including Word, Excel, and PowerPoint, required

• Sitting, standing, and moving throughout the day in an office environment

• Monday – Friday, 8:00 am – 4:30pm

Benefits

• $19.00 - $22.00 per hour, depending on experience, education, and training
• Career development and training opportunities
• Medical, dental, vision, STD, LTD & Life
• 401k plan with company match
• Company paid holidays
• Paid time off, paid sick time