MEDICAL BENEFITS COORDINATOR - HYBRID (RPO)

$37,440 - $41,600/Yr

CornerStone Staffing - Southlake, TX

Part-time - Entry Level

Remote - Southlake, TX

Administrative and Support Services

About the position

The Medical Benefits Coordinator plays a crucial role in managing and coordinating patients' insurance benefits and eligibility, ensuring timely access to healthcare services. This position involves communication with patients, healthcare providers, and insurance companies, primarily in a remote capacity, while requiring candidates to reside in the Dallas-Fort Worth area.

Responsibilities

• Communicate with patients, healthcare providers, and insurance companies to facilitate access to medical care.
• Verify and document patients' medical insurance coverage and benefit eligibility prior to medical services.
• Communicate with insurance companies to obtain medical benefit authorization and pre-authorizations.
• Manage pre-authorizations, referrals, and documentation of services.

Requirements

• One year of healthcare call center experience.
• Experience in benefit verification and prior authorization.
• Familiarity with medical benefits, medical insurance, and prescriptions.
• Knowledge of HIPAA regulations.
• Ability to handle co-pay, co-insurance, and deductible processes.

Nice-to-haves

• Experience in medical collections.
• Familiarity with patient assistance programs (PAP).

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Weekly Pay