Insurance Coordinator

WellPower provides you with the support you need to help you develop a career in helping others succeed. We innovate, adapt, and leverage the diverse perspectives of the people on our team and the people we serve in everything we do.

WellPower values and is strengthened by diversity. We are committed to ending bias and discrimination in our community and ensuring equity within all aspects of our organization. We are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment, transfer, or promotion opportunities without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Our Access Department serves as a front door in which an individual first becomes introduced to WellPower. We are a closely knit integrated team with many responsibilities. Our team prides itself on patience, compassion and team building as we work together to create an inviting presence for the people that we serve.

POSITION SUMMARY :

The Insurance Coordinator provides a range of intensive, client-centered services. The primary role of the Insurance Coordinator is to ensure access to pay sources for health care through public benefits, private insurance, Marketplace Plans, or other sources. This includes education, advocacy and assistance to clients and educating WellPower staff on insurance and benefit plan eligibility, changes, and enrollment procedures. Other key roles include retention in health insurance and redetermination process for people we serve

Learn more about WellPower :

Pay Range & Benefits :

Insurance Coordinator : $26.72 / hr

WellPower is committed to fair and equitable hiring with salaries based on relevant factors, such as work experience, education, and certification / licensure (rather than wage history). Toward the principle of equal pay for equal work, we post and hire within defined hiring salary ranges. We ask all applicants to carefully review the hiring salary range for each posted job opportunity, as we will not hire outside the predetermined range.

All full-time, benefits eligible employees will be eligible for WellPower's benefits plan. For a full description of benefit offerings, please visit : https : / / wellpower.org / workplace-of-choice / .

ESSENTIAL JOB FUNCTIONS :

• Verify client eligibility and benefits.
• Track service authorization requirements and usage and obtain authorization, as necessary.
• Communicate changes in client information to clinical staff.
• Update client information in our electronic medical records (Avatar), and documenting in the chart.
• Assist clinicians in completion of necessary administrative paperwork related to insurance.
• Meet with clients to explain benefits and financial responsibility. Initially, obtain client insurance information as needed to determine ability to pay. As needed, meet with clients to update benefits information.
• Assist clinical teams with managing client benefits.
• Coordinate efforts to identify uninsured, and insurable clients with the intent to connect them to a pay source for care. Gather information on the uninsured through the Peak Pro Portal and the WellPower Electronic Health Record (Avatar).
• Refer people we serve to external health brokers as needed.
• Participate in staff meetings, team meetings, client staffing meetings (when appropriate), training events; department planning activities, and assisting in special projects.
• Maintain appropriate client files and timely documentation of services utilizing the electronic health record.
• Perform other duties as assigned.

REQUIREMENTS & QUALIFICATIONS :

Education : High School Diploma or equivalent. A minimum of 2 years experience navigating healthcare insurance. Obtain a National Provider Identification (NPI) for billing purposes with clear distinction of no treatment planning, formal counseling or therapy.

Experience : Minimum two years of healthcare business office, insurance coordination or similar third-party payer claims experience.

SKILLS AND COMPETENCIES :

Machines and Equipment to be Used : Computers, calculators, fax machines, copiers, telephone, and a variety of other office / clerical equipment.

Typical Physical Demands : Requires sitting, standing, bending, and reaching. Requires manual dexterity sufficient to operate standard office machines such as computers, fax machines, the telephone and other office and / or clinical equipment

Working Conditions : May require occasional evening or weekend hours.

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