Medical Insurance Coordinator

Newport Mental Health; Middletown (RI); On-site; USD 50,000 - 60,000; Full time

Benefits offered by this job

3 weeks PTO

Up to 11 paid holidays

Flexible Holiday

Personal days

Sick time

$3,000 bilingual pay incentive

Medical, dental, and vision

Flexible Spending Accounts

Dependent Care Accounts

403(b) retirement

Life insurance

Tuition reimbursement

Employee Assistance Program

Wellness resources

Job summary

Newport Mental Health is seeking a Medical Insurance Coordinator to manage Medicaid applications, eligibility determinations, and related benefits processes. The role supports clients in securing state, federal, and local benefits and assists with cost estimation and payment options.

The candidate will work closely with participants, review documentation, and ensure timely enrollment. A health-related bachelor's degree and strong communication skills are required; bilingual incentive is offered

Qualifications

• Bachelor’s degree in public health or related field is preferred.
• Knowledge of public and private benefits and state resources.
• Familiarity with confidentiality laws governing health records.
• Excellent interpersonal and written communication skills.
• Empathetic, customer-focused, and deadline-driven.

Responsibilities

• Prepare and submit Medicaid applications and respond to requests for information.
• Know RI Medicaid Portal and various Medicaid products (QMB, SLMB).
• Review monthly Medicaid reports to ensure active coverage.
• Assist with SNAP applications and enrollment steps.
• Meet with participants monthly to discuss eligibility and documentation.
• Estimate patient financial obligations and discuss payment options.
• Maintain CAC certification where applicable.

Skills

Interpersonal communication

Customer service

Time management

Benefits and insurance knowledge

Education

Bachelor's degree in public health / related field

Job description

Medical Insurance Coordinator

Salary Range: $50,000 to $60,000 annually

Schedule: Full-Time | 37.5 hours/week

WHY JOIN NEWPORT MENTAL HEALTH?

At Newport Mental Health, we invest in our employees by offering competitive pay, exceptional time‑off benefits, opportunities for professional growth, and a supportive, mission‑driven culture.

What We Offer…

• 3 weeks of paid time off (PTO) to start, with additional PTO for Director‑level roles
• Up to 11 paid holidays each year
• 1 paid Flex Holiday each year
• Separate paid personal days
• Separate paid sick time
• $3,000 annual bilingual pay incentive
• Medical, dental, and vision coverage
• Flexible Spending Accounts (FSA) and Dependent Care Accounts
• 403(b) retirement savings plan
• Company‑paid life insurance
• Tuition reimbursement
• Employee Assistance Program and wellness resources

Benefits and eligibility vary by position, scheduled hours, and employment status; additional criteria may apply to certain benefits and incentives.

WHO WE ARE…

Newport Mental Health (NMH) is a progressive high‑energy organization that uses state‑of‑the‑art person‑centered recovery approach to help individuals recover from mental illness and substance use disorders. NMH extends its trauma‑informed evidence‑based services to children, adolescents, families, and adults. Our services vary from outreach, specialized program, mental health, school‑based therapy, substance use therapy, community‑based therapy, and outpatient clinic.

For more information visit our website: www.newportmentalhealth.org

WHO WE ARE LOOKING FOR…

Mission- Aligned: You are excited to be a part of Newport Mental Health’s mission to improve the lives of our clients living and working in Newport County by providing the highest quality of care.

Ally: You intentionally foster belonging, personal growth, and empowerment for all. You are a strong advocate for the BIPOC, LQBTQIA+, Woman, Veteran, and other under‑represented communities.

Solution Orientated: You are driven to think of different approaches to narrow the gap which leads to positive and effective changes.

Time Management: You are a conscious planner and a thoughtful decision maker who adheres to deadlines.

WHAT YOU WILL BE DOING (ESSENTIAL DUTIES) …

This position will ensure that individuals who may be eligible for state, federal and local benefits are supported in the process of accessing and making application for benefits. This includes registration, insurance eligibility and enrollment/re‑enrollment and access community‑based behavioral health treatment for clients. Review each application to confirm that the financial statements and other personal information are accurate. Interview the applicants and family members when necessary, and document all your findings that lead to approval or denial of the Medicaid application.

Main Duties and Responsibilities:

• Prepare and submit Medicaid application, respond to any requests for additional information, prepare appeals for SSI/SSDI denials, and provide advocacy throughout the process.
• Knowledge of the RI Medicaid Health Care Portal.
• Knowledge of different Medicaid products such as QMB and SLMB.
• Reviewing Monthly Medicaid report to ensure active Medicaid for Clients.
• Assist with SNAP applications.
• Screen and assist with all steps of the Medicaid and Charity Care enrollment process.
• Ensure timely submission of Medicaid or Charity application based off program guidelines.
• Gather, verify, evaluate, and enter necessary social, financial, and medical information into various applications.
• Meet (on the phone or in person) with program participants on a monthly basis or more frequently if needed.
• Outreach to individuals to determine Medicaid eligibility and continuing eligibility for income maintenance programs related to medical services.
• Utilizes tools to estimate patient financial obligations, including copays, deductibles, and coinsurance and then meeting with patients to discuss payment options.
• Receives and maintains Certified Application Counselor (CAC) certification, if applicable.

Requirements

WHAT WE EXPECT OF YOU…

• Bachelor’s degree preferably in public health, health education or related field and/or minimum of two years of benefits and insurance experience preferred.
• Knowledge of public and private benefits and state resources.
• Knowledge of federal/state laws, accreditation and regulatory standards governing confidentiality of health care record.
• Exceptional interpersonal and communication skills with the ability to communicate professionally both verbally and in writing with a variety of individuals.
• Caring and empathetic, with a strong customer service focus and the desire to help others in need.
• Self‑motivated and independent, with the ability to prioritize work to meet deadlines.

Newport Mental Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.