Benefits Coordinator

Job Description

Job Description

The Benefits Coordinator serves as a key member of the behavioral health team, ensuring clients have timely access to services by managing insurance verification, benefits coordination, and administrative support functions. This position dedicates approximately 65% of time to benefits coordination activities and 35% to front desk and reception responsibilities, helping create a welcoming, professional, and client-centered environment.

Essential Duties and Responsibilities

• Verify client eligibility, co-pays, deductibles, and authorization requirements through Medicaid Managed Care Organizations (MCOs) and commercial insurance portals prior to appointments.
• Identify services requiring prior authorization and monitor coverage limitations and carve-outs under specific MCO structures.
• Coordinate with billing staff to resolve insurance discrepancies and coverage issues.
• Assist uninsured or underinsured clients in gathering required demographic and income documentation.
• Determine eligibility for grant-funded programs, sliding fee scales, and other available funding resources.
• Contact clients 24–48 hours prior to appointments to confirm demographic information, insurance coverage, and contact details.
• Obtain updated insurance cards and ensure client records remain current.
• Review client records to identify missing consent forms, behavioral health assessments, screenings, and other required documentation.
• Assist clients with completing required intake and registration forms.
• Ensure accurate documentation within the Electronic Medical Record (EMR/EHR) system.
• Explain co-pays, sliding scale requirements, and other financial obligations to clients.
• Collect and securely process client payments in accordance with agency procedures.
• Maintain a welcoming, safe, and professional reception area. Greet clients, visitors, community partners, and staff with courtesy, professionalism, and sensitivity.
• Provide exceptional customer service while supporting a trauma-informed and culturally responsive environment.
• Support a calm environment and assist with de-escalating minor concerns when appropriate.
• Answer multi-line telephone systems and respond to general inquiries.
• Route calls to the appropriate departments and staff members.
• Immediately transfer crisis-related calls to designated clinical or crisis response personnel.
• Assist clients with intake paperwork and registration requirements.
• Scan and upload completed documentation into the Electronic Health Record (EHR) system.
• Notify clinicians of client arrivals and assist with appointment flow coordination

Educational Requirements:

• High School Diploma or GED required.
• 1-3 years of experience in benefits coordination, front desk, or patient care coordination services
• Bilingual candidates are strongly encouraged to apply

Benefits:

• Affordable Medical, Dental, and Vision insurance.
• 401K Retirement Plan and Life Insurance.
• Generous Paid Time Off (PTO), Sick Leave, and Paid Company Holidays.
• Opportunities for leadership training and professional development.
• Employee Assistance Programs (EAP) to support your professional and personal well-being.

Salary:

$25.00 - $30.00 per hour, based on experience