Clinical Benefits Coordinator
Clinical Benefits Coordinator
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
SUMMARY:The Clinical Benefits Coordinator serves as a bridge between HR benefits administration and healthcare knowledge providing associates with expert guidance on their health benefits claims and healthcare navigation. This role requires a strong understanding of medical terminology insurance processes and associate benefits. An ideal candidate will have experience in HR benefits administration medical coding nursing or a related healthcare field.
ESSENTIAL DUTIES/RESPONSIBILITIES:
- Benefits Administration: Assist associates with benefits enrollment changes and inquiries. Provide guidance on plan options and help resolve benefitsrelated issues.
- Claims & Billing Support: Interpret Explanation of Benefits (EOBs) assist with claims disputes and work with insurance providers to clarify coverage and costs.
- Healthcare Navigation: Help associates understand medical procedures terminology and coding as they relate to insurance coverage.
- Wellness & Education: Develop and communicate educational materials on benefits preventive care and wellness programs. Conduct informational sessions as needed.
- Medical Procedure Coordination: Assist associates in understanding coverage for medical procedures and help direct them in scheduling appointments in alignment with the companys medical insurance plan.
- Compliance & Documentation: Ensure adherence to HIPAA and maintain accurate and confidential associate records.
- Collaboration: Work closely with HR benefits providers and healthcare professionals to advocate for associates needs and optimize benefits utilization.
- HR Support: Assist the HR team with additional duties as needed including associate relations compliance and general HR initiatives.
- All other duties as assigned. This job description is not allinclusive or may not fully describe all responsibilities for this role.
EDUCATION WORK EXPERIENCE AND PROFICIENCIES:Experience in associate benefits administration healthcare coordination medical billing or nursing or a related healthcare field.Strong knowledge of health insurance coding and healthcare billing processes.Excellent communication and problemsolving skills to assist associates with complex medical and insurancerelated questions. Understanding and some proficiency in HRIS and benefits management systems is a plus.Ability to handle sensitive information with confidentiality and professionalism.
EEO STATEMENT: Our company provides equal employment opportunities to all applicants without regard to race color religion gender national origin age disability veteran status or any other characteristic or status protected under local state or federal laws.
Required Experience:
IC
Employment Type
Full-Time
