Summary:
We have TWO Full-Time positions one at Bahamas Dr. and the other at Truxton Ave.
The Patient Benefits Coordinator will be responsible for verifying eligibility and benefits, as well as submitting authorizations for multiple providers at our SCOI Bakersfield location for PRIVATE INSURANCE. All services include clinical office, surgery, x-ray, DME, EMG,PT/OT, and MRI
Essential Duties and Responsibilities include the following.:
1. Reports to work as scheduled each day.
2. To act in a manner that is indicative of team spirit and cooperation.
3. Works cooperatively as a team member and supports the Mission, Vision and Values of Southern California Orthopedic Institute.
4. Complies with SCOI Policy and Procedures.
5. Pre-verify benefits and eligibility for all HMO, PPO, and Commercial insurances for all new patients. Re-verify benefits and eligibility for all established patients as needed and at the beginning of every year.
6. Completes eligibility form in Details section of Centricity; updates patient demographics as needed including allocation sets; enters alert notes into the system when applicable.
7. Receives completed Surgery Check-list or Authorization request from physician for pre-certification and/or authorization.
8. Contacts insurance company by telephone or uses internet to verify patient coverage and obtain benefit information for requested service or procedure.
9. Contacts insurance company to pre-cert procedure as required.
10. Creates Case for each procedure or service provided; completes Pre-cert Surgery Verification form in Case Notes.
11. Computes surgery deposit amount required from patient; notifies patient of surgery deposit amount by letter or by phone prior to scheduled procedure. Notifies patient prior to pre-operative appointment when possible.
12. Responds to patients' questions regarding surgery deposit and insurance coverage.
Secondary Job Duties: Other duties as assigned.
Compensation Disclaimer:
In accordance with California pay transparency guidelines, the posted salary range reflects the anticipated base pay for this position. Final compensation within this range will be determined based on factors including, but not limited to, relevant industry experience in healthcare and leadership experience, education, and overall qualifications.
Equal Employment Opportunity Statement
Southern California Orthopedic Institute is an Equal Opportunity Employer and is committed to fostering a diverse and inclusive workplace. We do not discriminate against applicants or employees based on race, color, religion, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, marital status, national origin, ancestry, citizenship, age, disability, medical condition, genetic information, military or veteran status, or any other status protected by applicable federal, state, or local law.
We are also committed to providing reasonable accommodations for qualified individuals with disabilities and for sincerely held religious beliefs, in accordance with applicable laws.
Job Type: Full-time
Pay: From $25.00 per hour
Benefits:
- 401(k) matching
- 403(b)
- 403(b) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid sick time
- Paid time off
- Pet insurance
- Retirement plan
- Vision insurance
Experience:
- Workers' compensation: 2 years (Required)
Ability to Commute:
- Bakersfield, CA 93309 (Required)
Work Location: In person
