Insurance Benefits Coordinator I

Insurance Coordinator

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

OR

Physical Requirements

How We Take Care Of You!

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.