Customer Service/Benefits Coordinator

In Cano Health we are working to be the most patient-centric company in the industry, to get there, we need talented, bright, and driven people. In our Benefits department, we are currently looking for a Customer Service/Benefits Coordinator who will be responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims and determine patient coverage/responsibility for services and testing.

Essential Duties & Responsibilities

• Performs Insurance Verification of benefit coverage on all of the patient's insurance plans for each service being provided.
• Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
• Creates documentation required to service the patient per policy and payer guidelines.
• Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
• Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.

Education & Experience

• 1-year experience in sales in the Medical industry is a plus
• Basic Medical Terminology
• Insurance Authorization/Verification
• Strong Customer Service in Healthcare field for at least 1 year
• Must have High School Diploma or GED

Knowledge, Skills & Proficiencies

• Must be fluent in English and Spanish
• Experience working with EMR’s (Electronically Medical Records), ECW strongly preferred.

Physical Requirements/Working Environment

This position works under usual office conditions. The employee is required to work at a personal computer as well as be on the phone for extended periods of time. Must be able to stand, sit, walk, and occasionally climb. The incumbent must be able to work extended and flexible hours and weekends as needed. Physical demands include the ability to lift up to 50 lbs.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 

Job Type: Full-time
 

Benefits:

• 401(k)
• 401(k) Matching
• Dental Insurance
• Health Insurance
• Paid Time Off
• Vision Insurance

Language:

• Spanish (Preferred)

Additional Compensation:

• Bonuses

Schedule:

• Monday to Friday
• No weekends
• Day shift
• 8 hour shift

Work Remotely:

• No

Cano Health, LLC operates 46 primary care centers and several pharmacies in Florida that specialize in primary care for older adults. As part of its care coordination, the enterprise provides sophisticated, high-touch population health management programs including patient-centric programs such as home visits, telehealth, transition of care, and high-risk & complex care management. Cano Health’s personalized patient care and proactive approach to wellness and preventive care sets it apart.