Benefits Coordinator

Description

Benefits Coordinator is a key position in two ways: First, the employee allows the patients to feel that they are
being treated fairly in terms of customer service. Second, the employee will verify eligibility and benefits
according to patient’s insurance.

Requirements

Essential Functions
1. Verify eligibility for patients before, during and after the encounter for all UCHC clinics;
   Insurance verification is required for patient scheduled up to 4 days in advance.
   Expedite eligibility for same date acute visits.
   Coordination of benefits is required for primary, secondary or tertiary insurance.

If previous insurance information is termed, COB specialist needs to update patient’s insurance.

2. Benefit coordinator staff needs to verify if provider assigned to patient for the appointment by the
    front desk is contracted with patient’s insurance to avoid denials.
3. Notate any insurance restrictions for front desk staff when they go to collect at the time of the visit.
4. Benefit coordinator needs to verify benefits for patients before, during and after the appointment if
    necessary.
? Enter billing notes in regards to copay, coinsurance and deductible that patient may have
   according with patient’s plan.
? Answer any inquiry made by any internal department such as Providers, Nurses, Referrals, Labs
    and billing staff in regards to coverage for patient in specific plan.
5. Expertise in insurances assigned to each benefit specialist.
6. Achieve production goals assigned by Patient Account Supervisor completing the tasks in a timely
    manner.
7. Support new UCHC phone system with patients’ calls.
8. Enter new patients’ registrations.
    Additional Duties & Responsibilities
    1. Attends and participates in staff meetings and all mandatory training sessions.
    2. Assists billers and coders in regards to eligibility, benefits, reviews, appeals and updates required to
        complete or reprocess patient’s claims.
    3. Other duties as assigned.
Qualifications/Requirements
   High School Graduate plus 3-5 years of experience in the medical field.
   Reliable means of transportation and proof of valid vehicle insurance.
Licensure/Certification
   Valid Arizona driver’s license.
Experience/Skills
  Computer literacy required with knowledge of practice management software, electronic claims,
   proficient in Microsoft Office products.