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Benefits Coordinator

4 months ago

Northridge, United States Regal Medical Group Full time

**Position Summary**:
Provide efficient and accurate information to prior authorization requests. Ensure that correct benefits, co-pays and financial responsibility are provided to Prior Auth requestors.

**Essential Duties and Responsibilities include the following**:

- Anticipate our customer needs: Understand the process and job guidelines in order to provide accurate and in timely manner information to Prior Auth department so they can properly authorized or deny services based on coordinators findings.
- Data entry via GCEA/REA
- Verify eligibility and benefits on all requests from Prior Authorization.
- Verify financial responsibility for all requests.
- Maintain turnaround time compliance in all aspects of the UM process.
- Maintain all reference material that is provided by the supervisor, manager or director.
- Know and follow the Employee Handbook policies and procedures.
- Maintain patient confidentiality so that HIPAA compliance is observed at all times.
- Demonstrates honesty and integrity in everyday activities.
- Recognizes when an error has been made and immediately reports to appropriate manager.
- Maintain regulatory turn-around Time Standards per CMS (Seniors) and ICE (Commercial).
- Assists other staff and supports the team approach.
- Participates in the efficient, effective, and responsible use of resources such as supplies and equipment.
- Communicates appropriately and clearly to management and co-workers.
- All other duties as directed by management.

**Education and/or Experience**:

- 2-4 years of experience with HMO referrals and prior authorizations.
- Knowledge of Healthcare and Managed Care preferred.
- Typing 40 words per minutes with accuracy.
- Knowledge of computers, faxes, printers and all other equipment.
- Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
- Ability to multi-task and meet deadlines.

The pay range for this position at commencement of employment is expected to be between $21/hour -$24 /hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

Pay: $21.00 - $24.00 per hour

Expected hours: 40 per week

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Monday to Friday

People with a criminal record are encouraged to apply

Work Location: In person