Benefit Coordinator

POSITION SUMMARY

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.

ESSENTIAL DUTIES AND RESPONSIBILITIES 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 AND 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.

MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES) High School Graduate plus 3-5 years of experience in the medical field. Reliable means of transportation

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. Knowledge of medical terminology and anatomy a plus. A positive, professional attitude. A team player; able to work in and foster a team environment.

This in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.

UCHC reserves the right to make changes to this document at any time in accordance with business needs. This document is not intended to list all duties of the job. It is descriptive only of the chief duties and responsibilities.

United Community Health Center is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

Job Type: Full-time

Pay: From $16.50 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• No weekends

Work Location: In person