Talent.com
Benefit Coordinator-US BASED APPLICANTS ONLY; NO SPONSORSHIP AVAILABLE
Benefit Coordinator-US BASED APPLICANTS ONLY; NO SPONSORSHIP AVAILABLEWarm Valley Health Care • Fort Washakie, WY, USA
Benefit Coordinator-US BASED APPLICANTS ONLY; NO SPONSORSHIP AVAILABLE

Benefit Coordinator-US BASED APPLICANTS ONLY; NO SPONSORSHIP AVAILABLE

Warm Valley Health Care • Fort Washakie, WY, USA
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
  • serp_jobs.filters_job_card.quick_apply
job_description.job_card.job_description

GENERAL STATEMENT :

Responsible for obtaining insurance pre-authorizations, assisting patients with obtaining and maintaining health insurance coverage, submitting insurance claims, and following up on account receivables.

DUTIES AND RESPONSIBILITIES :

  • Assist patients with the process of obtaining and maintaining maximum insurance coverage, including identifying available health care insurance options as needed.
  • Remain current on available insurance options, including eligibility and enrollment requirements.
  • Screen new patients' referrals for insurance coverage, obtain any necessary pre- authorization, and provide timely approval for admission.
  • Work closely with members of the patient's care team to address any barriers to maintaining insurance coverage.
  • Enter and maintain insurance coverage and related demographic information in RPMS.
  • Monitor the status of applications for patients applying for Medicaid / Medicare with the PRC.
  • Assist with applications for additional programs offered to patients.
  • Work closely with community and governmental agencies, including Social Security and Medicare and private insurance companies to assist patients in resolving insurance eligibility.
  • Bring to the attention of the Billing department any insurance or coverage issues.
  • Reports weekly status / workload to Supervisor.
  • Reach out to patients regarding additional information required for Medicaid / Medicare / VA eligibility.
  • Entered detailed records in the RPMS as to the status of patient application / eligibility.
  • Participate in organizational process improvement meetings.
  • Works closely with Patient Registration, PRC, Nursing, and specialty clinics to identify and assist patients with any alternate resource patient may qualify for.
  • Performs continuous research and updating information involving changes in rules and regulation for alternate resources.
  • Other duties and / or tasks that may be assigned on an as-needed basis.

QUALIFICATIONS :

  • Two years of related experience, required.
  • Knowledge of eligibility requirements for Medicare, Medicaid, and SSI to assist patients in seeking benefits.
  • Working knowledge of various third-party resources, established procedures and how they benefit the patient / clinic and how it relates to the Business Office / PRC.
  • Ability to work with the public and provide positive customer service.
  • Ability to keep abreast of current changes in regulations and policies on alternate resources eligibility, Business Office and Purchase Referred Care program regulations.
  • The ability to interview patients in order to determine eligibility for alternate resources.
  • Communication skills are required to effectively explain and solicit appropriate information from the patient.
  • The ability and skill to compile and write reports from various documents maintained in the Business Office.

    • APPLICATION REQUIREMENTS :

  • Submit a completed application with supporting documents via the online portal or mail to Warm Valley Health Care, Human Resource Department, P.O. Box 128, Ft. Washakie, WY 82514.
  • Applications are available at Warm Valley Health Care or for more information contact Stacie Fagerstone, Executive Director-HR via email at th.

    • Preference will be given to qualified Eastern Shoshone tribal members, then other qualified federally recognized Indian tribal members and then other qualified candidates.

  • Applicants must submit a copy of Tribal Enrollment card or CIB for Indian Preference.
  • Veterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process.

    • Any offer of employment is contingent upon a negative drug test, reference checks and background check. Refusal to undergo required testing or testing positive will render the applicant ineligible for employment.

    EOE

  • Must pass pre-employment drug screening.
  • Successfully pass the employment background check.
    • serp_jobs.job_alerts.create_a_job

    Benefit • Fort Washakie, WY, USA