Insurance Benefits Coordinator

Oklahoma Mental Health Council; Oklahoma City (OK); On-site; USD 36,000 - 54,000; Full time

Benefits offered by this job

Health Insurance

Dental & Vision

Retirement Plan

Student Loan Repayment

Employee Assistance

Paid Time Off

Holidays

Floating Holiday

Rest & Relaxation Days

Education Leave

Volunteer Leave

Bonuses

Job summary

Red Rock Behavioral Health Services seeks an Insurance Benefits Coordinator to verify insurance, establish funding sources, and enroll consumers in eligibility programs. You will coordinate with Medicaid, contractors, and insurers to obtain coverage information and communicate changes to teams.

Strong data entry, attention to detail, and independent work are essential. You will support scheduling, reports, and education for staff while ensuring adherence to financial procedures and

Qualifications

• One year of related healthcare experience and/or training.
• High school diploma or equivalent.
• Ten key, computer/data entry, spreadsheets, and word processing.
• Ability to work independently with diligence and accuracy.
• Analytical and problem-solving skills.

Responsibilities

• Verify insurance for all consumers and manage scheduling data.
• Establish funding sources and enter data accurately.
• Document eligibility history with detail and precision.
• Coordinate with payers by phone, fax, email or portal.
• Notify sites of insurance changes and terminations.
• Identify consumer financial responsibilities and apply guidelines.

Skills

Healthcare experience

Data entry

Ten key

Spreadsheets

Word processing

Attention to detail

Communication skills

Education

High school diploma

Tools

DMH eligibility system

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Insurance Benefits Coordinator

Full Time Clerical Oklahoma City, OK, US

2 days ago Requisition ID: 3543

SUMMARY

Coordinates with all Red Rock sites to determine, verify and establish payer sources. Sets up All Funding Sources in the computer system, enrolls new/existing consumers in DMH eligibility as needed, verifies insurance eligibility/coverage, verifies insurance for upcoming appointments, maintains all insured financial information and assists with funding and financial related calls.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• Responsible for the verification of insurance for all Red Rock consumers
  • Daily Appointment Schedule
  • OHCA TPL reporting
  • Weekly PICIS reports
  • Follow-up on Missing or Incomplete Consumer Information
  • Daily Default Monitoring
• Establishes all funding sources for each Red Rock site and enters all required data into the computer while maintaining a high level of accuracy, professionalism and integrity
• Documents an appropriate level of detail to maintain an accurate account of eligibility history
• Coordinates with payers including, but not limited to: Medicaid, contractors, commercial insurance companies, etc. by phone, fax, email or online portal, to obtain insurance benefits and eligibility information
• Communicates all necessary information to each Red Rock site as needed including insurance terminations, etc.
• Identifies consumer responsibility to include any co-pay, co-insurance and outstanding deductible and notes the account accordingly
• Maintains knowledge of Red Rock’s financial procedures and adheres to all financial guidelines.
• Assists in educating staff in each Red Rock site regarding funding needs/changes
• Attends staff meetings, workshops, and seminars to learn agency policies, rules, regulations, and procedures; participates in ongoing in-service training as well as pertinent external training
• Performs other duties as required

QUALIFICATIONS

• One year of related healthcare experience and/or training; or equivalent combination of education and experience
• High school diploma or equivalent

OR

• Equivalent combinations of education and experience
• Ten key, computer/data entry, spreadsheets, and word processing
• Ability to work independently, with diligence and accuracy
• Analytical and problem-solving skills
• Detail oriented, with excellent organizational skills
• Excellent verbal and written communication skills
• Commitment to the mission of Red Rock BHS
• Preferred one year of related experience

PHYSICAL REQUIREMENTS

• Must have the ability to stand or sit for long periods of time
• Must have the ability to lift, push, or pull a minimum of 25 pounds
• Ability to travel approximately 10% of the time
• Ability to use telephone, PC, fax machine, copy machine, and printer

HOW WE TAKE CARE OF YOU!

• We pay a generous portion of your Health Insurance
• Low-cost Dental and Vision Insurance
• Retirement Plan with employer contributions equal to 5% of annual salary
• Student Loan Repayment Options
• No Cost Employee Assistance Plan
• 3 Weeks Paid Time-Off (increases annually between years 2-10)
• 9 Paid Holidays
• 1 Floating Holiday to use at your discretion.
• 4 Rest and Relaxation Days
• 3 days of Education Leave
• 4 hours of Volunteer Leave
• Eligible for Pay Increases and Bonuses Annually
• Employer Paid Long-Term Disability and Life Insurance

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Red Rock Behavioral Health Services does not discriminate based on race, color, national origin, religion, gender, gender identity, age, marital/familial status, sexual orientation, or disability.