Benefits Coordinator - Senior (HOPD Stem Cell Therapy MCC)

• 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.

• 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.