Insurance Benefits Coordinator

6 days ago


Appleton, United States Robert Half Full time
Job DescriptionJob Description

We are offering a contract-to-hire position for an Insurance Benefits Coordinator in Appleton, Wisconsin, within the healthcare industry. In this role, you will play a key part in supporting Occupational Therapists, Physical Therapists, and patients by managing interactions with insurance providers, overseeing therapy sessions, and ensuring accurate record-keeping.

Key Responsibilities:

  • Verify insurance coverage for all therapy patients and ensure proper documentation in patient files
  • Handle insurance authorizations and ensure adherence to Medicare and Medicaid guidelines
  • Manage therapy visit referrals and authorizations, utilizing fax or insurance web portals as needed
  • Track therapy session counts within the electronic medical records (EMR) system
  • Communicate updates regarding insurance changes and coverage limits to therapists on a case-by-case basis
  • Implement tasks outlined in the "PT only" and "No Therapy Coverage" policies
  • Submit and review prior authorization forms for Medical Assistance through the Forward Health portal, and collaborate with Medical Assistance regarding coverage details
  • Ensure proper documentation of information disclosures when sending faxes
  • Maintain regular communication with the therapy team, providing updates on task completion and offering assistance as needed
  • Utilize various software, including Allscripts, Cerner Technologies, CRM, Dentrix, and Eaglesoft to manage inbound calls, authorizations, benefits, billing, and claims processing.


• Experience in using CRM systems

• Ability to handle answering inbound calls

• Experience in handling authorizations

• Understanding of benefit functions

• Familiarity with billing functions

• Experience in claim administration in a healthcare setting


If you are interested, please give us a call today at 920-666-6382 to apply



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