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Benefits Coordinator

Colorado Sleep Institute
Longmont, CO Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 5/3/2025
COLORADO SLEEP INSTITUTE
JOB TITLE: Benefits Coordinator
FULL TIME POSITION: Monday - Friday, 8AM to 5PM
COMPENSATION: $18.00 - 20.00 per hour
BENEFITS: medical, dental, vision, matching 401K, PTO.
Are you a benefits professional looking for a collaborative, patient- centered environment? Do you pride yourself in providing excellent service to help others? Do you rise to the occasion of a challenge with poise & professionalism? Then look no further, we may have the perfect position for you!

We are looking to hire a Benefits Coordinator for our Longmont location. We’re looking for someone who has excellent customer service skills, thinks quickly to resolve issues, and pays attention to detail.
JOB SUMMARY
This position oversees and coordinates the authorization and benefits staff in accordance with the tasks, duties and functions listed below. Projects a professional company image through in-person and phone interactions and provides excellent customer service.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Core duties and responsibilities include the following. Other duties may be assigned.
  • Maintains knowledge of Medicare NCD/LCD policy requirements relating to products and services billed by our company
  • Maintains knowledge of commercial insurance policy requirements relating to products and services billed by our company
  • Maintains knowledge of Medical Necessity requirements relating to products and services billed by our company
  • Understanding of medical benefits, including co-pay, co-insurance, deductibles and out of pocket maximum
  • Ensure all required medical necessity documentation is on file for prescribed service/product
  • Ensure all medical policies are up to date relating to products and services billed by our company
  • May be required to complete Prior-authorization and Pre-determinations and patient benefit estimates for the following services as assigned:
    • In Lab Sleep Tests
    • Oral Appliance Therapy
    • CPAP, Bi-level and ASV therapy
    • DME Resupply
  • Speaks with customers regarding their insurance coverage and corresponding cost estimates and sets-up financial payment arrangements for patients. Educates patient’s on Advanced Beneficiary Notice if applicable
  • Collects patient payments over the phone
  • Update billing cases in patient charts regarding billing status/payment plan and authorization requirement(s)
  • Create Letters of Medical Necessity for services billed by our company
  • Point of contact for any physician questions regarding medical policy requirements on services provided by our company
  • Works cases pertaining to benefits questions and that are applicable to Benefit Coordinator position
  • Provides direct day-to-day oversight of Benefit and Authorization processes and ensures that operations are running smoothly.
  • Acts as a point of contact for staff questions that arise in the department regarding benefits, medical documentation, medical policy requirements, authorizations, estimates, etc.
  • Regularly communicates with Revenue Cycle Manager and fellow department Team Leads regarding any potential operational problems within the benefits intake processes.
EDUCATION AND/OR EXPERIENCE:
  • High school diploma required
  • 0 to 1 years of knowledge and experience with Medical billing preferred
  • 1 to 3 years of medical office experience preferred
  • 1 to 3 years of years of knowledge and experience with DME billing preferred
  • 1 to 3 years of knowledge and experience of Government/Commercial payor policies, and Compliance requirements
A little bit about us…
Colorado Sleep Institute is a comprehensive sleep center, meaning we provide the medical expertise for patients to be diagnosed & treated under one roof. Our board-certified doctors and PAs evaluate patients, handing them off to our team of stellar sleep technologists for testing, followed by treatment by a consortium of doctors, PAs, PAP technologists, cognitive-behavioral therapists, and sleep dentist.

One of the many things that sets CSI apart from other sleep organizations in addition to the breadth of treatment options is a streamlined in-house approach. In addition to our team of clinical providers, we have a comprehensive durable medical equipment department which coordinates PAP therapy appointments for patients and timely orders of the PAP machines and supplies.

CSI prides itself in being a one-stop shop for patients needing help with their sleep needs. We value a patient-centered culture and growth mindset, both for our patients and for our team. And, we like to have fun in the process!

Salary : $18 - $20

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