SUMMARY: The Client Benefits Coordinator is responsible for obtaining insurance pre-authorizations, assisting clients with obtaining and maintaining health insurance coverage, submitting insurance claims, and following up on account receivables. The Client Benefits Coordinator works closely with members of the clients care team (including social worker) to address any barriers to maintaining maximum insurance coverage.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and responsibilities may be assigned.

Core Responsibilities

Assist clients with the process of obtaining and maintaining maximum insurance coverage, including identifying available health care insurance options as needed.

Remain current on available insurance options, including eligibility and enrollment requirements.

Work closely with members of the client care team (including social worker) to address any barriers to maintaining insurance coverage.

Enter and maintain insurance coverage and related demographic information in the billing system.

Submit insurance claims, timely.

Follow up with payers to ensure timely and appropriate reimbursement.

Monitor the status of and work to close pending insurance claims and outstanding patient balances per departmental goals.

Work closely with community and governmental agencies, including Social Security and Medicare, and private insurance companies to assist clients in resolving insurance problems.

Send out regular account statements to clients.

Reach out to clients regarding unpaid account balances.

Entered detailed records in the billing system of all activities taken to process a claim and/or collect patient balances.

Perform other duties as assigned

COMPETENCIES (KSAs)

Leadership

Initiative

Ethical Practices

Judgment

Relationship Management

Emotional Intelligence

Professional Boundaries

Global and Cultural Awareness

Critical Evaluation

Problem Solving

Decision Making

Communication

Teamwork

Crisis Management

Technical Capacity

Qualifications REQUIRED EDUCATION

High school diploma or equivalent.

REQUIRED LICENSE/CERTIFICATIONS

None

REQUIRED EXPERIENCE

Two years of related experience, required.

Experience with Microsoft Office software suite, required.

Experience with insurance and third-party billing associated with health care benefits and medical terminology, preferred.

WORK ENVIRONMENT This job operates in an indoor office environment. This role routinely uses standard office equipment such as computers, phones and photocopiers.

Phoenix House of New York

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Client Benefits Coordinator