The Role
Lead Benefits Coordinator manages patient access, insurance verification, scheduling, authorizations, and administrative workflows in a clinical practice. Provides training, mentorship, and escalation support while ensuring compliance, operational efficiency, and high patient satisfaction.
Summary Generated by Built In
The Lead Benefits Coordinator coordinates staff activities and workflows related to patient access, insurance verification, scheduling, and administrative support within a clinical practice to ensure efficient operations and high patient satisfaction. Provides customer service by supporting appointment scheduling, check-in and check-out processes, insurance benefit verification, authorization coordination, and telephone triage. Serves as a key liaison between clinic staff, providers, and insurance representatives to resolve complex authorization and patient access issues. Provides guidance, training, and mentorship to Benefits Coordinators while promoting service excellence aligned with the UT Health mission, vision, and patient promise.
Responsibilities
- Demonstrates the ability to support the mission, vision and patient promise throughout all interactions the UT Health Way.
- Provides guidance, training, and mentorship to administrative staff.
- Facilitates communication between providers, staff, insurance plans, and patients.
- Provides authorizations, referrals and general clerical support in a patient care environment.
- Oversees complex authorization and referral processes.
- Monitors scheduling and patient access workflows to ensure operational efficiency.
- Assists with resolving escalated patient service or insurance issues.
- Maintains clinic records, reports, and administrative documentation.
- Supports clinic leadership with operational coordination and reporting.
- Ensures compliance with clinic policies, regulatory requirements, and payer guidelines.
- Performs other duties as assigned.
- Advanced knowledge of clinic operations, insurance verification, and authorization processes.
- Ability to coordinate workflow and provide leadership to administrative staff.
- Strong analytical and problem-solving skills related to patient access and insurance issues.
- Ability to train, mentor, and guide clinic staff.
- Skilled in conflict resolution and patient service recovery.
- Proficient in Microsoft Office, electronic medical records, and clinic management 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.
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
- Advanced knowledge of clinic operations, insurance verification, and authorization processes
- Ability to coordinate workflow and provide leadership to administrative staff
- Strong analytical and problem-solving skills related to patient access and insurance issues
- Ability to train, mentor, and guide clinic staff
- Skilled in conflict resolution and patient service recovery
- Proficient in Microsoft Office, electronic medical records, and clinic management systems
- Excellent verbal, written, and interpersonal communication skills
- Ability to maintain security and integrity per Texas EO-GA-48
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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.
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