Insurance Coordinator

ORTC, LLC is seeking passionate and energetic team members to join our treatment center as an Insurance Coordinator, dedicated to providing compassionate care to our clients.

We pride ourselves on being a family-oriented company where every team member is valued. Our team culture is built on mutual respect, dignity, and compassion. If you are creative, highly motivated, and thrive in a collaborative environment, then ORTC is the perfect place for you.

Our Treatment Center is an adult outpatient opioid treatment program focused on helping individuals overcome addiction to opioids—such as pain pills, heroin, fentanyl and morphine—through a comprehensive approach. This includes Medication Assisted Treatment (MAT) with options like methadone or buprenorphine/suboxone, alongside intensive personalized and group counseling, all within an outpatient framework.

The Insurance Coordinator position is responsible for the smooth operation and communication of inter-departmental services. He/she will report to the Program Director/Coordinator/Administrator on all matters pertaining to his/her duties. The Insurance Coordinator is responsible for coordinating between Hudson Medical Billing services and the Program Directors/Coordinators/Administrators at all ORTC, LLC locations. The Insurance Coordinator will report overdue balances and insurance eligibility to all parties who have an interest in insuring accounts remain in good standing. The 
Insurance Coordinator will assist and encourage clients to enroll in available insurance and effectively communicate financial obligations. The Insurance Coordinator will provide timely, accurate 
information regarding claims, billing, eligibility, and reimbursements to the appropriate parties.

Duties and Responsibilities
o Verify insurance types (OHP, commercial, etc.). Make copies of all insurance cards or 
print eligibility from MMIS. 
• Upload insurance information to client records at time of admission, upon 
discovery of changes and annually thereafter.
• Coordinate CCO changes to County of service when applicable. 
• Provide intake screening form to Hudson Medical to assist with establishing 
Prior Authorization (PA) prior to admission. 
o CASH Clients
• Encourage client to enroll with OHP, give application and/or online application 
website when applicable.
• Assist other ORTC treatment centers with coordination of OHP application or 
eligibility.
• Run daily cash reports.
o Confirm commercial insurance and determine eligibility and benefits. E-mail Hudson 
Medical with Client Name, Date of Birth, and copy of insurance card to establish 
financial plan.
o Fax and/or scan all insurance checks and EOBs to Hudson Medical.
o Review financial obligations with client, which may include Deductibles, Out-of-Pocket 
Charges, and Co-Pay information prior to scheduling admission.
o Post charges/billing in Method One as needed.
o Review commercial insurance deductibles and update client accounts in Method One.
o Complete monthly audits on OHP clients to ensure ongoing eligibility. 
o Conduct monthly audits to ensure that overdue balances and eligibility status are 
coordinated and communicated to all parties involved to ensure accounts remain in good 
standing.
o Communicate amounts owed to Front Desk Staff and Program 
Directors/Coordinators/Administrators for each facility.
o Enter billing episodes in EMR.
o Conduct Billing Compliance audit by confirming billing episodes using Method One reports.

o Rotate Saturdays with Front Officed Staff.

Benefits include:

• • Health Insurance: Medical coverage is 90% employer-paid for employees and 25% employer-paid for dependents and includes prescription drugs, vision coverage and an Employee Assistance Plan.  Dental coverage is 90% employer-paid for employees and 20% employer-paid for dependents.
  • 40(1k) Savings Plan: Includes a 4% Safe Harbor match by the company, with options for Traditional, Roth, or a combination of both.
  • Voluntary Benefits: Options for life insurance, disability insurance, accident insurance, and critical illness coverage.
  • Life Insurance: $20,000 company-provided policy.
  • Time Off: Includes 12 holidays, sick time as per state guidelines, and 2 weeks of vacation in the first year.
  • Education and Training:
    • CE4LESS: Company-paid annual subscription for continuing education.
    • Professional Development: Two paid professional development days per year.

These comprehensive benefits are designed to support the well-being and professional growth of our employees.

Salary : $20,000