Phoenix House - Long Island City, NY

posted about 2 months ago

Full-time
Long Island City, NY
Ambulatory Health Care Services

About the position

The Client Benefits Coordinator plays a crucial role in assisting clients with obtaining and maintaining health insurance coverage. This position involves working closely with clients and their care teams to navigate insurance processes, submit claims, and ensure timely reimbursements. The Coordinator is responsible for maintaining accurate records and addressing any barriers that may affect clients' insurance coverage.

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 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.

Requirements

  • High school diploma or equivalent.
  • Two years of related experience required.
  • Experience with Microsoft Office software suite required.

Nice-to-haves

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