Benefits Coordinator

$43,680 - $47,840/Yr

Regal Medical Group - Los Angeles, CA

Full-time - Entry Level

Los Angeles, CA

1-10 employees

Hospitals

About the position

The Benefits Coordinator at Regal Medical Group, Inc. is responsible for providing accurate and timely information regarding prior authorization requests. This role ensures that correct benefits, co-pays, and financial responsibilities are communicated effectively to facilitate the authorization or denial of services. The position requires a strong understanding of healthcare processes and compliance with regulations, while maintaining patient confidentiality and supporting team efforts.

Responsibilities

• Provide efficient and accurate information to prior authorization requests.
• Verify eligibility and benefits on all requests from Prior Authorization.
• Verify financial responsibility for all requests.
• Maintain turnaround time compliance in all aspects of the UM process.
• Maintain all reference material provided by the supervisor, manager, or director.
• Know and follow the Employee Handbook policies and procedures.
• Maintain patient confidentiality to ensure HIPAA compliance.
• Demonstrate honesty and integrity in everyday activities.
• Recognize and report errors to the appropriate manager.
• Maintain regulatory turnaround time standards per CMS and ICE.
• Assist other staff and support a team approach.
• Communicate appropriately and clearly to management and co-workers.
• Perform all other duties as directed by management.

Requirements

• 2-4 years of experience with HMO referrals and prior authorizations.
• Knowledge of Healthcare and Managed Care preferred.
• Typing speed of 40 words per minute with accuracy.
• Proficient in Microsoft Office programs (Word, Excel, Outlook, Access, PowerPoint).
• Ability to multi-task and meet deadlines.

Benefits

• Continuing education credits
• License reimbursement
• Paid holidays
• Health insurance
• Dental insurance
• 401(k)
• Flexible spending account
• Tuition reimbursement
• Paid time off
• Parental leave
• Employee assistance program
• Vision insurance
• Life insurance
• Referral program