Benefits Coordinator

Benefits Coordinator ensures that patients feel they are receiving fair treatment in terms of customer service. Additionally, the employee verifies eligibility and benefits based on the patient's insurance coverage. This process involves confirming the patient's coverage details to ensure accurate billing and to provide transparency regarding the services covered by their insurance plan. By verifying eligibility and benefits, the employee contributes to a positive patient experience, instilling trust and confidence in the healthcare provider's services.  

Essential Functions

• 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.
• 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.
• Notate any insurance restrictions for front desk staff when they go to collect at the time of the visit
• Benefit coordinator needs to verify benefits for patients before, during and after the appointment if
• necessary.
• Enter billing notes in regard 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 regard to coverage for patient in specific plan.
• Expertise in insurances assigned to each benefit specialist.
• Achieve production goals assigned by Patient Account Supervisor completing the tasks in a timely
• manner.
• Support new UCHC phone system with patients’ calls.
• Enter new patients’ registrations.
• Additional Duties & Responsibilities
• Attends and participates in staff meetings and all mandatory training sessions
• Assists billers and coders in regard to eligibility, benefits, reviews, appeals and updates required to complete or reprocess patient’s claims.
• 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.
• Ability to communicate effectively with patients, insurance company representatives and co-workers
• both verbally and in writing using the English language. Ability to speak Spanish is desirable, but not
• required.
• Solid problem solving and decision-making capabilities and the ability to handle stressful and urgent
• situations primarily involving patient billing concerns.
• Well organized, ability to prioritize, good planning skills, patience, self-starter and positive attitude.
• Attention to detail and ability to work independently. Prior accounting/bookkeeping experience
• desirable.
• Ability to add, subtract, multiply and divide all units of measure, using whole numbers, fractions and
• decimals. Ability to compute rate, ratio, and percent and to draw and interpret graphs such as bar
• graphs and pie charts.
• Knowledge of medical terminology and anatomy a plus.
• A positive, professional attitude.
• A team player; able to work in and foster a team environment.

Benefits:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance Policy
• Disability Insurance
• 403B Retirement Plan
• 13 Vacation Days
• 5 Sick Days
• 10 Paid Holidays
• Employee Assistance Program
• Spending Accounts
• Employee Wellness Programs
• Supplemental Insurance 
• Flexible Schedule