Koniag Government Services · 11 hours ago
Benefit Coordinator I
Poplar, MT
Full-time
Onsite
Entry Level
1+ years expKoniag Government Services is seeking a Benefit Coordinator I to support the Billings Area Indian Health Service. This role involves assisting patients in identifying and securing alternate healthcare resources, ensuring the coordination of benefits, and providing high-quality customer service.
EnterpriseGovernmentProfessional Services
No H1B
U.S. Citizen Only
Responsibilities
Conduct personal interviews with patients and family members to assess eligibility for alternate health resources, including but not limited to Medicare, Medicaid, Veterans Affairs (VA) benefits, Workers’ Compensation, Social Security Disability/Retirement/Survivor Benefits, and Prescription Drug programs
Review and determine eligibility for private health insurance and approve or deny coverage based on program criteria
Respond to inbound calls and verify patient coverage, benefits, or eligibility as needed
Collaborate with Patient Registration staff to collect, verify, and accurately record patient demographic and insurance information
Assist patients in completing applications, gathering required documentation, and navigating agency processes for alternate resource programs
Monitor and follow up on all pending claims to secure updated status, resolve discrepancies, and ensure timely processing
Maintain accurate, timely documentation in accordance with IHS policies, HIPAA, and applicable federal regulations
Provide high-quality customer service to ensure patients understand their benefits, obligations, and available resources
Perform additional duties related to alternate resource coordination as assigned by the supervisor or Service Unit leadership
Qualification
Required
High school diploma or GED
At least 1 year of experience in benefits coordination, patient registration, medical billing, case management, social services, or a related healthcare administrative role
Knowledge of federal, state, and tribal programs related to healthcare benefits and eligibility
Experience conducting interviews, gathering sensitive information, and documenting findings accurately
Strong customer service, communication, and interpersonal skills
Ability to maintain confidentiality and comply with HIPAA and federal privacy standards
Proficiency with computers, data entry, and electronic health record (EHR) or patient management systems
Ability to obtain a Public Trust
Preferred
Associate degree or certificate in Healthcare Administration, Human Services, Social Work, Business, or a related field
Previous experience working with Indian Health Service, Tribal programs, or in a healthcare/clinical setting serving Native American communities
Familiarity with programs such as Medicare, Medicaid, VA Benefits, SSI/SSDI, ACA Marketplace plans, and workers' compensation systems
Experience resolving insurance eligibility issues or assisting patients with complex resource coordination
Knowledge of IHS Alternate Resource requirements and PRC processes
Benefits
Health, dental and vision insurance
401K with company matching
Flexible spending accounts
Paid holidays
Three weeks paid time off
Company
Koniag Government Services
Koniag Government Services is a Professional Services and Operational Management to Federal Government.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Kevin Wideman
Chief Executive Officer
Jack Wise
SVP Business Development Lifecycle
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