Benefits Coordinator

Okcic; Oklahoma City (OK); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player in healthcare is seeking a compassionate Benefit Coordinator to join their dedicated team. This role focuses on screening patients for various healthcare benefits, ensuring they receive the support they need. The ideal candidate will possess strong interpersonal and computer skills, with a commitment to community service. As part of a non-profit organization, you will play a vital role in helping the American Indian community navigate healthcare options. If you are passionate about making a difference and thrive in a fast-paced environment, this opportunity is perfect for you.

Qualifications

• 2+ years of experience in healthcare administration or insurance.
• Knowledge of healthcare payers and reimbursement processes.

Responsibilities

• Conduct interviews with patients to identify eligibility for resources.
• Verify Medicaid and private insurance eligibility through online systems.
• Educate families about Health Insurance Marketplace options.

Skills

Interpersonal Skills

Computer Skills

Customer Service

Effective Communication

Education

High School Diploma or GED

Job description

Job Details

Job Location: 4901 W Reno - Oklahoma City, OK

Salary Range: Undisclosed

Description

Oklahoma City Indian Clinic (OKCIC) is a non-profit organization dedicated to providing culturally sensitive healthcare to the American Indian community. Our services include medical, dental, optometry, behavioral health, fitness, nutrition, and family programs.

Our mission is to deliver excellent healthcare to American Indians by prioritizing people, ensuring quality services, and upholding integrity and professionalism.

We seek compassionate team players to join us as we strive to become a national model for American Indian healthcare.

We are hiring a Benefit Coordinator responsible for screening patients for Medicare, Medicaid, Affordable Care Act, and MarketPlace services. Candidates should have excellent interpersonal skills, enjoy community service, and possess strong computer skills. The role involves ongoing research on benefit changes.

Responsibilities include, but are not limited to:

1. Conduct interviews with patients to identify eligibility for resources, explain Indian Health Care Improvement Act Amendments of 1988, and ensure patient understanding.
2. Verify Medicaid eligibility via online systems, update status in RPMS, and manage termination dates.
3. Verify private insurance and Medicare eligibility through designated websites.
4. Determine eligibility for Oklahoma Medicaid programs, submit applications, follow up, and input data into RPMS.
5. Educate and outreach to families about the Health Insurance Marketplace and the Affordable Care Act.
6. Assist families with enrollment, eligibility for premium tax credits, and plan options.
7. Obtain reports on SoonerCare terminations and manage renewals/recertifications.
8. Scan and document administrative forms and eligibility documents into patient records.
9. Conduct plan comparisons during Marketplace open enrollment.
10. Prepare appointment lists and verify private insurance eligibility prior to appointments.
11. Serve as backup registration staff as needed.

The Oklahoma City Indian Clinic is a non-profit organization and not a federal employer. Indian preference applies; applicants must submit a full application and CDIB card. We are an Equal Employment Opportunity employer, committed to nondiscrimination based on race, color, sex, national origin, age, disability, religion, veteran status, and other protected characteristics.

Qualifications

• Alignment with OKCIC’s mission, vision, and core values.
• High school diploma or GED.
• At least 2 years of relevant experience in healthcare administration, insurance, or eligibility determination.
• Strong computer skills.
• Knowledge of healthcare payers and reimbursement processes.
• Pharmacy experience preferred.
• Ability to obtain Certified Medicare Assistance Counselor certification through the Oklahoma Insurance Department.
• Excellent customer service and interpersonal skills.
• Effective communication skills.
• Ability to work efficiently in a fast-paced environment while maintaining quality service.