Insurance Benefits Coordinator

Red Rock; Oklahoma City (OK); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Health insurance

Dental & Vision Insurance

Retirement plan

Paid time off

Holidays

Education leave

Volunteer leave

Bonus potential

Job summary

Red Rock is seeking an Insurance Benefits Coordinator in Oklahoma City. The role coordinates with all Red Rock sites to verify insurance, enroll consumers in DMH eligibility when needed, and establish payer sources.

It involves data entry, reporting, and collaboration with Medicaid and other insurers to obtain accurate benefits information. The position supports financial procedures, communicates changes to sites, and assists with staff education on funding needs while adhering to agency

Qualifications

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

Responsibilities

• Verify insurance for all Red Rock consumers.
• Manage daily appointment schedule and reporting.
• Establish funding sources and enter data accurately.
• Coordinate with payers (Medicaid, contractors, commercial insurers) for benefits and eligibility.
• Inform sites of insurance terminations and changes.
• Educate staff on funding processes and requirements.
• Attend staff meetings and relevant training.
• Perform other duties as needed.

Skills

Healthcare experience

Attention to detail

Verbal and written communication

Education

High school diploma or equivalent

Tools

Ten key

Data entry

Spreadsheets

Word processing

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

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.