What are the responsibilities and job description for the Patient Benefits Specialists- Closes 04/08/2025 position at Confederated Tribes of Siletz Indians?
Description
Opening Date: March 25, 2025
Closing Date: April 08, 2025
Job Title: Patient Benefits Specialists
Salary/Wage: $24.60/hr
Tribal Level 114
Location: Siletz, OR
Classification: Full-time, Non-Exempt
Job Posting Number: 2589451
Introduction
The person in this position works with uninsured patients and community members to determine insurance eligibility. Assists in initial enrollment and renewal process to ensure continued coverage.
Duties
REQUIREMENTS:
Associates Degree in health administration area or related field - OR – an equivalent combination of specialized experience and/or education. Specialized experience is experience which is directly related to the position to be filled.
Knowledge Of
Medical terminology.
Experience In
Opening Date: March 25, 2025
Closing Date: April 08, 2025
Job Title: Patient Benefits Specialists
Salary/Wage: $24.60/hr
Tribal Level 114
Location: Siletz, OR
Classification: Full-time, Non-Exempt
Job Posting Number: 2589451
Introduction
The person in this position works with uninsured patients and community members to determine insurance eligibility. Assists in initial enrollment and renewal process to ensure continued coverage.
Duties
- Serves as key contact person for all tribal members and community members for OHP/Cover Oregon/ Federal Facility Market (FFM). Helps individuals understand and access affordable healthcare options.
- Demonstrates and maintains expertise in eligibility and enrollment rules and procedures.
- Collaborates with staff to provide outreach.
- Assists patients in determining eligibility for the Oregon Health Plan/Cover Oregon/ FFM including application process, renewals, and appeals & grievances.
- Explains benefits and services covered by insurances and Purchase Referred Care.
- Connects patients with providers and resources in their area.
- Acts as Patient liaison before OHP/Cover Oregon/FFM including processing urgent health coverage through Oregon Health Authority.
- Assists and answers patient concerns with explanation benefits (EOB's) and insurance denials.
- May also perform other duties as needed and assigned.
REQUIREMENTS:
Associates Degree in health administration area or related field - OR – an equivalent combination of specialized experience and/or education. Specialized experience is experience which is directly related to the position to be filled.
Knowledge Of
Medical terminology.
Experience In
- Working with MMIS, Word, Excel, and related computer applications.
- Become a certified Application Counselor/Assister in Oregon and Federal Marketplace.
- Work with a wide variety of people and able to communicate effectively to tribal and community members, staff, insurance companies as well as federal, state and local health agencies.
- Handle possible stressful situations involving explanation of insurance eligibility and benefits to patients with little or no knowledge of insurance practices.
- Must be well organized and able to handle a large volume of work.
Salary : $25
