Patient Benefits Coordinator

Job DetailsJob Location: Health & Human Services - El Paso, TX 79907Position Type: Full TimeEducation Level: Associates DegreeSalary Range: $16.08 - $26.13 HourlyTravel Percentage: NegligibleJob Shift: DayJob Category: Healthcare and Social AssistancePOSITION SUMMARY:

Coordinates, researches, identifies, and reviews alternative resources for tribal members and their families seeking alternative health benefits plans.

ESSENTIAL FUNCTIONS:

Identifies uninsured individuals, screens to determine eligibility, and provides guidance and assistance with applying for third party coverage;
Interprets Federal and State rules and regulations by following explicit guidelines in order to determine patient eligibility for various Tribal health programs;
Coordinates with internal and external departments and agencies to identify individuals who may be eligible for alternate resources;
Develops and implements effective screening, outreach and interviewing techniques to identify health insurance coverage status of individuals;
Develops and maintains various databases and updates insurance data on RPMS;
Communicates member insurance eligibility with Patient Care Coordinator and assists with processing PRC identification cards;
Analyzes and evaluates services, coverage and options available through alternate resources to determine plans best meeting the individual’s needs;
Serves as advocate to address issues and answer insurance questions related to their alternate resources;
Adheres to policies and procedures related to the Health Insurance Portability and Accountability ACT (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH);
Maintains current knowledge of applicable federal and state privacy laws and conducts training to assure compliance within all levels of the organization;
Communicates updates and/or changes to benefit programs;
Prepares and submits monthly reports to the PRC Supervisor;
Performs other position-related duties as assigned and required.

QualificationsMINIMUM REQUIREMENTS:

Associate degree; or three years’ related experience and/or training; or equivalent combination of education and experience. Must possess a valid Texas Driver’s License and be insurable. Must be bilingual – English/Spanish. Must be able to successfully pass a post-offer drug screen and criminal history background check.

KNOWLEDGE AND SKILLS:

Knowledge on how to assist with the application process for alternate resources (Medicaid, Medicare, Health Exchanges, VA, etc.); ability to understand and recognize appropriate program eligibility for families and individuals' health care needs;. Excellent written and oral communication skills. Ability to read, analyze and interpret professional journals, documents, governmental regulations, etc. Proficient in MS Office applications and database software. Ability to effectively present information and respond to questions from management and the public. Excellent interpersonal skills. Excellent customer service attributes. Must be able to effectively prioritize and manage multiple tasks. Must have excellent organizational and time management skills.

PHYSICAL REQUIREMENTS:

While performing the essential functions of this position, the employee is frequently required to sit, talk, and hear. The employee is occasionally required to reach with hands and arms. The employee is occasionally required to lift up to 25 pounds. The vision requirements include close vision and ability to adjust focus.

This description is a summary of principle responsibilities and is not intended to include all duties, which may be assigned.