Insurance Benefits Coordinator I

Oklahoma City, OK

Hospitals

About the position

The position coordinates with all Red Rock sites to determine, verify, and establish payer sources. Responsibilities include setting up all funding sources in the computer system, enrolling new and existing consumers in DMH eligibility as needed, verifying insurance eligibility and coverage, and maintaining all insured financial information. The role also involves assisting with funding and financial-related calls.

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 assigned

Requirements

• One year of related healthcare experience and/or training; or equivalent combination of education and experience
• High school diploma or equivalent
• Ten key, computer/data entry, spreadsheets, and word processing skills
• 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

Nice-to-haves

• Preferred one year of related experience

Benefits

• Generous portion of Health Insurance paid by employer
• 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