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Personal Financial Advisor
Lutz, FL
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Wesley Chapel Woman Care

Benefits Coordinator

Job Description

Job Summary We are seeking a detail-oriented, compassionate Benefits Coordinator to join our OB/GYN practice. This position is responsible for verifying insurance eligibility and benefits, reviewing coverage for obstetric and gynecologic services, preparing patient financial estimates, and explaining financial responsibilities clearly and respectfully. The ideal candidate has experience with medical insurance verification, strong organizational skills, and the ability to help patients navigate coverage and payment questions while coordinating with the front office, clinical team, and billing department.
Responsibilities Essential Functions:
Insurance Verification and Benefits Review Verify insurance eligibility and benefits before new patient visits, prenatal appointments, procedures, and other scheduled services. Review deductibles, copayments, coinsurance, out-of-pocket limits, and applicable coverage restrictions. Confirm provider and facility network participation when applicable. Identify referral, prior authorization, and precertification requirements and coordinate with the appropriate team member. Document verification details, payer reference numbers, and relevant coverage information accurately in the practice management system. Reverify benefits when coverage changes, at the start of a new plan year, or as required by practice procedures. Obstetric Benefits and Financial Coordination Review maternity benefits and prepare patient estimates for obstetric care based on practice billing policies and available insurance information. Explain the practice's maternity financial agreement, expected patient responsibility, payment schedule, and applicable payment options. Clarify which services are included in the practice's maternity estimate and which may be billed separately, such as hospital services, anesthesia, laboratory testing, ultrasounds, or outside specialists. Track maternity payment arrangements and communicate account concerns to the billing department or practice manager. Update estimates and financial agreements when insurance coverage or the anticipated care plan changes. Explain that insurance verification and estimates do not guarantee coverage or final payment. Patient Communication and Financial Counseling Explain insurance benefits and estimated costs using clear, patient-friendly language. Answer patient questions about coverage, financial agreements, and payment expectations. Discuss financial matters privately and professionally, with sensitivity to each patient's circumstances. Assist patients with approved payment arrangements and refer financial hardship requests to management. Respond promptly to patient calls, portal messages, and internal requests. Required Qualifications High school diploma or equivalent. Previous experience in medical insurance verification, patient financial services, medical billing, or a related healthcare administrative role. Working knowledge of deductibles, copayments, coinsurance, out-of-pocket limits, referrals, and prior authorizations. Experience using electronic health records, practice management systems, and insurance payer portals. Strong attention to detail, organizational skills, and follow-through. Excellent verbal and written communication skills. Ability to manage multiple priorities while maintaining accuracy and professionalism. Ability to handle sensitive patient and financial information discreetly. Preferred Qualifications OB/GYN practice experience, particularly with maternity benefits and obstetric financial agreements. Familiarity with global maternity billing and separately billed services. Experience verifying benefits for gynecologic procedures, surgeries, and contraceptive devices. Familiarity with medical terminology and CPT and ICD-10 codes used in benefits verification. Experience establishing patient payment arrangements and discussing financial estimates.
Language Skills:
English required; Bilingual fluency in English and Spanish strongly preferred.
Pay:
$19.00 - $23.00 per hour Expected hours: 40.0 per week
Benefits:
401(k) Dental insurance Employee assistance program Employee discount Flexible spending account Health insurance Life insurance Paid time off Vision insurance
Work Location:
In person

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Health and Wellness Programs
  • Health Insurance
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