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We Make Lives Better
The Role
Verify insurance eligibility, obtain authorizations/referrals, assist patients with coverage questions and financial counseling, coordinate scheduling, handle high-volume calls, maintain insurance documentation, and support clinic staff to resolve insurance or scheduling issues.
Summary Generated by Built In
The Benefits Coordinator Intermediate provides patient access and insurance coordination functions in support of clinical operations. Responsible for verifying insurance coverage, obtaining authorizations and referrals, supporting financial counseling activities, and serving as a resource to clinic staff on insurance and benefits questions. Ensures efficient patient scheduling contributes to a positive patient experience, supports clinic operations, and delivers service consistent with the UT Health mission, vision, and patient promise.
Responsibilities
- Verifies patient insurance eligibility and benefits prior to appointments.
- Obtains required authorizations and referrals for services and procedures.
- Serves as a resource to clinic staff regarding insurance and benefit requirements.
- Assists patients with questions related to insurance coverage and financial responsibilities.
- Supports financial counseling by identifying insurance coverage limitations and patient balances.
- Coordinates appointment scheduling according to provider availability and clinic protocols.
- Handles high-volume phone inquiries related to appointments, insurance, and referrals.
- Maintains accurate documentation of insurance and authorization information.
- Assists with resolving insurance or scheduling issues that may impact patient care.
- Performs other duties as assigned.
- Demonstrates commitment to the mission, vision, and patient promise of UT Health.
- Knowledge of medical insurance processes including eligibility verification, authorizations, and referrals.
- Strong analytical skills to review insurance coverage and resolve patient access issues.
- Ability to prioritize tasks and coordinate work within clinic schedules.
- Proficient in Microsoft Office, electronic medical records, and scheduling systems.
- Excellent verbal, written, and interpersonal communication skills.
This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.
About Us Benefits Overview
UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.
Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.
Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.
Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.
FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.
Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.
Time Off - A generous leave program offers multiple paid leave options:
- Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
- Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
- Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
- Holidays: 12 set paid holidays each year.
Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.
EEO Statement
UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.
Skills Required
- Knowledge of medical insurance processes including eligibility verification, authorizations, and referrals.
- Proficient in Microsoft Office, electronic medical records, and scheduling systems.
- Strong analytical skills to review insurance coverage and resolve patient access issues.
- Ability to prioritize tasks and coordinate work within clinic schedules.
- Excellent verbal, written, and interpersonal communication skills.
- Demonstrates commitment to the mission, vision, and patient promise of UT Health.
- Ability to maintain security and integrity per Texas EO-GA-48 (as required).
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The Company
What We Do
UT Health San Antonio™, one of the country’s leading health sciences universities, is the leader in south/central Texas funding for the National Institutes of Health (NIH). The university’s schools of medicine, nursing, dentistry, health professions and graduate biomedical sciences have produced more than 33,000 alumni. The $806.6 million operating budget supports four campuses in San Antonio and Laredo, and is the primary driver of its community’s $37 billion biomedical and health care industry. For more information on the many ways “We make lives better®,” visit uthealthsa.org.
