Benefits Coordinator - Senior (HOPD Stem Cell Therapy MCC)

The Benefits Coordinator Senior performs complex insurance coordination and patient access functions while serving as a subject-matter expert in clinic operations, including insurance verification, authorizations, and scheduling workflows. Provides guidance to team members, assists with training, and supports process improvement initiatives to enhance patient access and operational efficiency consistent with the UT Health mission, vision, and patient promise.

Responsibilities

• Reviews complex insurance eligibility and authorization requirements for patient services.
• Resolves escalated insurance or scheduling issues impacting patient access.
• Serves as a subject matter expert for clinic staff on insurance policies and procedures.
• Assists with training new employees and providing guidance to team members.
• Monitors authorization and referral workflows to ensure timely processing.
• Supports clinic leadership with workflow improvements and operational efficiencies.
• Ensures accurate documentation of insurance information within patient records.
• Assists with coordination of high-priority patient appointments and services.
• Collaborates with providers, clinical staff, and insurance representatives to resolve coverage issues.
• Performs other duties as assigned.

Qualifications

• Advanced knowledge of insurance verification, authorization processes, and clinic workflows.
• Ability to interpret insurance requirements and resolve complex coverage issues.
• Demonstrates strong analytical and problem-solving skills.
• Ability to train and mentor staff.
• Skilled in coordinating multiple priorities in a high-volume clinic environment.
• Proficient with electronic medical records, scheduling systems, and Microsoft Office applications.
• Strong interpersonal communication and conflict-resolution skills.

Education:

High School diploma or GED equivalent required.

Experience:

Four (4) years of directly related experience is required.