Client Benefits Coordinator

Client Benefits Coordinator

Description

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 role works closely with members of the client care team, including social workers, to address any barriers to maintaining maximum insurance coverage.

• Assist clients with 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 workers) to address barriers to maintaining insurance coverage.
• Enter and maintain insurance coverage and related demographic information in the billing system.
• Submit insurance claims in a timely manner.
• 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.
• Enter detailed records in the billing system of all activities taken to process a claim and/or collect patient balances.
• Perform other duties as assigned.

• 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

Required Education

• High school diploma or equivalent.

Required Experience

• Two years of related experience.
• Experience with Microsoft Office software suite.
• Experience with insurance and third‑party billing associated with health care benefits and medical terminology (preferred).

Required License/Certifications

• None.

• This job operates in an indoor office environment, typically using computers, phones, and photocopiers.

• Regularly required to sit, use hands to type, handle or feel objects, tools or controls; reach with hands and arms, and talk or hear.
• Frequently required to stand, walk, stoop, kneel or crouch and lift and/or move up to 30 pounds.