Southern California Orthopedic Institute - Bakersfield, CA
posted 3 months ago
The Patient Benefits Coordinator at Southern California Orthopedic Institute plays a crucial role in ensuring that patients are pre-registered for their appointments by verifying their insurance coverage. This position involves obtaining necessary authorizations and pre-certifications for both office and surgical services for patients with various insurance types, including HMO, PPO, and Commercial insurance. The coordinator is responsible for a range of essential duties that contribute to the smooth operation of patient services and the overall mission of the organization. Key responsibilities include pre-verifying benefits and eligibility for all new patients and re-verifying for established patients as needed, particularly at the beginning of each year. The coordinator must complete eligibility forms in the Centricity system, update patient demographics, and enter alert notes when applicable. Additionally, the role requires direct communication with insurance companies to verify patient coverage and obtain benefit information for requested services or procedures. The coordinator will also compute surgery deposit amounts required from patients and notify them accordingly, ensuring they are informed prior to their scheduled procedures. The position demands a cooperative team spirit, adherence to company policies, and a commitment to supporting the mission, vision, and values of Southern California Orthopedic Institute. The coordinator will also respond to patient inquiries regarding surgery deposits and insurance coverage, providing essential support to patients navigating their healthcare options. Secondary job duties may include other tasks as assigned, contributing to the overall efficiency of the healthcare team.