Medical Benefits Coordinator

$37,440 - $39,520/Yr

Seaview Orthopedics - Holmdel, NJ

Full-time - Entry Level

Holmdel, NJ

Ambulatory Health Care Services

About the position

The Medical Benefits Coordinator at Seaview Orthopedics is responsible for ensuring patients receive the necessary support and access to their healthcare services. This role involves verifying patient benefits, applying for authorizations, and managing appeals for denied claims, all while maintaining compliance with healthcare regulations.

Responsibilities

• Check and confirm patient insurance benefits and coverage.
• Apply for necessary authorizations for procedures and services.
• Investigate and prepare appeals for denied claims.
• Maintain comprehensive records of patient interactions, benefit inquiries, authorizations, and appeals.
• Work closely with healthcare providers, billing departments, and insurance representatives.
• Educate patients on their benefits, coverage options, and the authorization process.
• Monitor the status of authorizations and claims, following up as needed.
• Address and resolve any issues related to patient benefits, authorizations, and claims.

Requirements

• Bachelor's degree in healthcare administration, business, or a related field preferred.
• Proven experience in medical billing, insurance verification, or patient coordination, with a focus on authorizations and claims appeals.
• Strong understanding of medical terminology, insurance processes, and healthcare regulations.
• Excellent communication and interpersonal skills, with a customer-focused approach.
• Detail-oriented with strong organizational and analytical abilities.
• Proficient in electronic health record (EHR) systems and Microsoft Office Suite.

Benefits

• Health insurance
• Opportunities for advancement