Description

About South Boston Community Health Center

South Boston Community Health Center (SBCHC) is a mission-driven, community-based health organization committed to providing high-quality, compassionate, and accessible care to individuals and families. We serve a diverse patient population and are dedicated to advancing health equity, collaboration, and excellence in care. Our employees play a vital role in supporting our mission and the communities we serve.

Work Environment & Culture

SBCHC offers a fast-paced, team-oriented healthcare environment that values respect, collaboration, and continuous learning. Employees work closely with interdisciplinary teams and are expected to demonstrate professionalism, flexibility, and a commitment to patient-centered care. We strive to create an inclusive and supportive workplace where employees feel valued and empowered to grow.

Position Summary

The Insurance Verification Coordinator supports the delivery of high-quality services by performing essential insurance verification and front-end revenue cycle functions prior to patient appointments. This role works collaboratively with Registration, Billing, and care teams to help ensure efficient clinic operations, accurate documentation, and a smooth patient experience.

In this role, the Insurance Verification Coordinator plays a critical part in preparing patients for their visits by verifying insurance eligibility, benefits, and coverage in advance of scheduled appointments. Through proactive communication with patients by phone and via MyChart, the Coordinator helps resolve insurance or demographic discrepancies before the visit, supporting timely access to care and minimizing delays or denials.

The Insurance Verification Coordinator is responsible for maintaining accurate insurance records and works closely with registration desks, the billing department, and referral teams to support seamless care coordination and revenue cycle processes. Key responsibilities include verifying insurance through payer portals and the electronic health record, communicating coverage and referral requirements to patients, processing insurance plan and PCP changes, and providing coverage support to registration desks as needed.

 Essential Duties & Responsibilities 

• Verify patient insurance eligibility, benefits, and coverage using the electronic health record (EHR), payer portals, and other approved resources
• Accurately collect, review, and update patient insurance and demographic information to support claims processing
• Contact patients prior to scheduled appointments to resolve insurance coverage issues or demographic discrepancies
• Inform patients of referral, authorization, and coverage requirements, including those related to urgent care services
• Collaborate with Registration and Billing departments to support accurate documentation and minimize claim denials
• Prepare, process, and track forms related to insurance plan changes and primary care provider (PCP) assignment updates
• Communicate with patients via phone and MyChart in a professional and courteous manner
• Provide coverage and support to registration desks as needed to maintain clinic operations
• Maintain confidentiality and comply with all organizational policies and regulatory requirements
• Perform additional related duties as assigned to support departmental and organizational needs

Requirements

• High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• Experience working with insurance plans including Medicare, Medicaid, Health Connector plans, and employer-sponsored insurance
• Strong attention to detail with the ability to organize, prioritize, and manage multiple tasks
• Effective verbal and written communication skills and a customer-service-oriented approach
• Ability to work collaboratively in a fast-paced healthcare environment

Preferred Qualifications

• Experience working in a healthcare or community health setting
• Familiarity with Epic or other electronic health record systems
• Bilingual communication skills preferred but not required

 Knowledge, Skills & Abilities

• Strong organizational and time management skills.
• Attention to detail and accuracy.
• Ability to maintain confidentiality.
• Customer service-oriented mindset.
• Flexibility and adaptability in a fast-paced environment.

Benefits & Perks

SBCHC offers a comprehensive benefits package designed to support employee well-being and work-life balance, which may include:

• Medical, dental, and vision insurance.
• Paid time off, holidays, and sick time.
• Retirement plan options.
• Professional development and training opportunities.
• Employee assistance programs.
• Other benefits in accordance with employment status and union agreements.

Compliance & Employment Requirements 

• Employment is contingent upon successful completion of a background check and reference checks.
• Proof of COVID-19 and other required vaccinations may be required in accordance with SBCHC policy and applicable laws.
• Selected candidates must meet all licensing, certification, or credentialing requirements applicable to the role.

Equal Opportunity Statement

South Boston Community Health Center is an Equal Opportunity Employer and is committed to fostering a diverse, inclusive, and equitable workplace. We do not discriminate on the basis of race, color, religion, creed, national origin, ancestry, ethnicity, sex, pregnancy, age, disability, genetic information, sexual orientation, gender identity or expression, marital status, veteran or military status, or any other characteristic protected by federal, state, or local law.

SBCHC is dedicated to ensuring equal employment opportunities and creating an environment where all employees feel valued, respected, and supported. We encourage individuals from diverse backgrounds to apply and are committed to providing reasonable accommodations to qualified individuals with disabilities throughout the hiring process and during employment.