Benefits Coordinator in Medford, Oregon at Southern Oregon Orthopedics, Inc

Benefits Coordinator

Position Summary:

We are seeking a detail-oriented and organized Benefits Coordinator to support our team with insurance verification, authorization processing, and patient account follow-up. This role is essential in ensuring accurate and timely coordination between patients, providers, and insurance companies.

Key Responsibilities:

• Run daily DAR (Days in Accounts Receivable) reports and assist with follow-up activities
• Obtain insurance authorizations via online portals, fax, or phone communication
• Accurately document all authorization activity within referrals and defer follow-ups based on appointment dates and payer guidelines
• Monitor and manage the Unauthorized Referral Work Queue (WQ)
• Follow up on pending authorization requests and contact insurance companies when needed
• Ensure referrals are not attached to appointments until authorization is received and finalized
• Upon approval, enter authorization details, mark as authorized, and attach to all applicable dates of service
• Respond to internal staff requests for authorizations and process accordingly
• Load and verify patient insurance information for accuracy
• Troubleshoot and resolve insurance-related errors
• Scan and upload authorization documentation (fax or electronic) into patient records
• Answer front desk and staff questions related to insurance coverage and authorizations
• Handle incoming calls on the payment line and assist patients with billing inquiries
• Make outbound calls regarding past-due balances and assist with resolution
• Complete additional duties and special projects as assigned by management

Why Join Us?

• Collaborative and supportive team environment
• Opportunity to grow within healthcare administration
• Meaningful work that directly impacts patient care and experience

Qualifications:

• Previous experience in medical office, insurance verification, or healthcare administration preferred
• Knowledge of insurance authorization processes and payer requirements
• Strong attention to detail and organizational skills
• Ability to manage multiple tasks and meet deadlines
• Excellent communication and customer service skills
• Proficiency with EMR systems and insurance portals is a plus