Medicaid/Client Benefits Coordinator

$36,982 - $47,840/Yr

Phoenix House - Long Island City, NY

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 obtaining insurance pre-authorizations, submitting claims, and following up on account receivables while collaborating with the client's care team to address any barriers to 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.

Requirements

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

Nice-to-haves

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