Insurance Benefits Coordinator

2 weeks ago

Atlanta, Georgia, United States Resurgens Orthopaedics Full time
Job Overview

POSITION SUMMARY

The role involves the verification of healthcare insurance eligibility and coverage, ensuring that patients' benefits are accurately validated. The specialist identifies patients with outstanding balances and initiates efforts to collect the owed amounts.

KEY RESPONSIBILITIES

  • Utilizes Real Time Eligibility tools to confirm insurance coverage and documents the extent of benefits. In cases where RTE is unavailable, verification is conducted through alternative methods such as websites, fax, or phone.
  • Confirms insurance details and benefits for all new patients and for existing patients with updated insurance. Engages with patients to gather any additional necessary information.
  • Checks the status of referrals and follows up with patients or primary care providers to ensure that necessary referrals have been completed.
  • Processes add-ons received via electronic communication.
  • Ensures accurate posting of all benefits to patient accounts in accordance with revenue cycle protocols.
  • Collaborates with Patient Access Representatives and front desk staff to obtain required information for the clinic.
  • Records the financial responsibilities of patients by entering co-pay or coinsurance details in the registration policies tab.

QUALIFICATIONS

EDUCATION AND EXPERIENCE

  • A high school diploma or equivalent is mandatory.
  • Preferred experience includes six months to one year of working with insurance terminology.
  • At least two years of experience in insurance and benefits verification, ideally within a healthcare setting.

SKILLS AND ABILITIES

  • Proficient in basic computer operations.
  • Exemplary customer service skills.
  • Effective communication skills, both written and verbal.
  • Strong organizational capabilities with a keen attention to detail.
  • Ability to interpret and follow instructions provided in various formats.
  • Proven skills in conflict resolution.

PHYSICAL REQUIREMENTS

While performing the duties of this position, the employee is frequently required to sit, stand, walk, reach with hands and arms, and communicate effectively. Occasionally, the employee may need to climb, balance, stoop, kneel, or crouch. The role may require lifting, pushing, or moving items weighing up to 20 pounds. Specific vision requirements include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT

This position may expose the employee to risks associated with infectious diseases when interacting with patients and their families. The employee may also encounter wet or humid conditions, moving mechanical parts, fumes, airborne particles, toxic or caustic chemicals, and vibrations. The typical noise level in the work environment is moderate.

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