What are the responsibilities and job description for the Patient Benefits Specialists 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:
- 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
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.
Ability to:
- 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.
Other:
- Must be well organized and able to handle a large volume of work.
Salary Description
$24.00
Salary : $25
