Benefit Specialist

Permanent / Full time
Las Vegas, NV
Posted 6 months ago
At Hera, we are focused on improving outcomes for women, mothers, and babies. The US lags many countries in healthy outcomes for women and babies. We believe we can and must do better. Come help us make an impact! Hera Women’s Health is a well-funded, private equity-backed, growing medical practice focused on creating sustainable ways to improve obstetrical and gynecological  outcomes. We are searching for a Medical Office Benefit Specialist to join our team in Las Vegas. This position verifies patient benefits, coordinates authorizations and referrals as needed, determines patient coverage and financial responsibility and manages patient’s accounts according to defined standards. Will create payment arrangement schedules as necessary.  

Knowledge and Skills:

  • Verification of benefits for patients prior to appointment. Insurance verification then enters the information properly into healthcare system software, marking all information regarding co-pay, referral obligations and balance from patients before the patient checks in for appointment.
  • Insurance authorizations, obtained in a timely manner and entered into healthcare system software
  • Ensure correct modifiers are added to charges appropriately and understand the LCDs associated with procedures performed in the practice.
  • Assist patients regarding insurance questions either in person or via telephone
  • Obtain insurance referrals or authorizations, ensuring all referrals are obtained prior to patients appointment and entered into healthcare system software
  • Keep up to date with insurance plans each physician (or practice) is participating in
  • Manages patients accounts receivable
  • Responds to patient needs.
  • Sort, scan, and file a variety of medical records and information into an electronic patient chart in appropriate sections.
  • Manage task lists on a daily basis for review and completion of tasks.
 

Qualifications:

  • High school diploma or equivalent.
  • 1 – 2 years experience in an OB/GYN office
  • Intermediate Computer Literacy with basic knowledge of office procedures and business machines.
  • Knowledge of CPT codes, ICD 10 and EMR systems
  • Prior experience in a medical office setting.
  • Knowledge of medical billing systems and HCPC coding
 

Company Overview:

Hera is a rapidly growing provider of women’s medical services, with a specific emphasis on obstetrics. The company’s focus is on delivering exceptional patient care and improving patient outcomes and value. It’s an exciting time to join us! Come help us make change!  

Benefits:

  • Medical Insurance
  • Dental Insurance – free for employee
  • Vision Insurance – free for employee
  • 401(k) with match after first year
  • Company-paid Life insurance
  • Paid time off
  • Referral programs

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