Benefits and Eligibility Specialist

Overview

Assist FCS clients with applying, navigating, and understanding insurance benefits. Function as an agency insurance expert and liaison with clients and staff to maximize reimbursement.

Responsibilities

• Verify client insurance information and make applicable updates in the EHR.
• Determine client eligibility for Medicaid, Medicare, or other applicable insurance.
• Assist with Medicaid enrollment and re-enrollment.
• Ensure applications are completed correctly with required supporting materials.
• Provide unbiased Medicaid insurance information to current and prospective clients regarding the Medicaid Contracted Entity benefits plans aka "SoonerSelect" benefits plans.
• Handle questions, issues, and provide detailed information on Oklahoma Medicaid eligibility, rules, benefits, and requirements for enrollment or re-enrollment.
• Document client paperwork into the FCS database.
• Provide outreach to clients to assist with education and comprehension of Medicaid enrollment, re-enrollment, and coverage.
• Utilize reports to target and assist with updating client insurance information.

Requirements

Preferences

Knowledge

Qualifications

Education

Associate or High School

Experience

Mental Health; Experience with Medicaid eligibility and enrollment is strongly preferred

Behaviors

Required

Detail Oriented

Capable of carrying out a given task with all details necessary to get the task done well

Licenses & Certifications

Required

Driver's License

Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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