Benefits Coordinator - Healthcare jobs in Oklahoma

Benefits Coordinator - Healthcare gathers and maintains coordination of benefits data. Researches, analyzes, and evaluates payer status and determines insurance coverage. Being a Benefits Coordinator - Healthcare ensures data is accurate and updated for efficient medical claim processing. Requires a high school diploma or equivalent. Additionally, Benefits Coordinator - Healthcare typically reports to a supervisor or manager. The Benefits Coordinator - Healthcare works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. To be a Benefits Coordinator - Healthcare typically requires 1-3 years of related experience. (Copyright 2024 Salary.com)

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Intake/Benefits Coordinator
  • KPH Healthcare Services
  • Oklahoma, OK FULL_TIME
  • Overview

    Job Summary: Responsible for managing all aspects of the client intake process including managing the members of the intake team, establishing, and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and managing the insurance verification and authorization processes.

    Responsibilities

    Job Duties:

    • Directs daily referral and intake operations including providing direct oversight of the establishment and implementation of intake
    • Ensures compliance with State, Federal, and other referral/intake regulatory
    • Directs the implementation of improved work methods and procedures to ensure clients are admitted in accordance with
    • Establishes and maintains positive working relationships with current and potential referral
    • Ensures maximum third-party reimbursement through insurance verification and authorization
    • Assists in negotiations for service pricing with insurance Case Managers and other payers within established financial and credit
    • Builds and monitors community and customer perceptions of HOME LIFE HEALTHCARE, CORP. as a high-quality provider of
    • Gathers, collates, and reports referral statistics including key customer referral
    • Maintains comprehensive working knowledge of HOME LIFE HEALTHCARE, CORP. contractual relationships and ensures that clients are admitted according to contract provisions.
    • Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by HOME LIFE HEALTHCARE,
    • Handles all telephone calls regarding scheduling and coordination of service delivery personnel to meet client scheduling
    • Accepts assignments from the Director of Nursing or Chief Clinical Officer
    • Schedules personnel
    • Contacts individuals’ assignments and scheduling
    • Receives a comprehensive "report" of staffing and service activity from the on-call coordinator
    • Coordinates client requests for service
    • Accurately schedules clinician in EMR (Kinnser) as needed and notifies clients regarding the status of their services
    • Assists in determining client needs and provides general information regarding services
    • Coordinates personnel scheduling requests as needed
    • Accurately records employee availability and coordinates availability with service requests
    • Notifies personnel in a timely fashion if the client cancels a request. Makes every attempt to reschedule agency personnel on another assignment
    • Contacts personnel, as needed, to request availability to work
    • Maintains an accurate telephone log of all communications with agency personnel and referral sources
    • Consults with the case manager or supervisor for any of the following:
    • Clients needing initial or emergency assessments
    • Inability to staff a client
    • Client complaints unable to be resolved
    • Service delivery personnel complaints or issues unable to be resolved
    • Clinical issues or problems needing the attention of a nurse
    • Provides "on-call report" to the supervisor each evening
    • Reports status of assignments given by the supervisor that day
    • Reports service requests received during office hours and the status of the requests
    • Reports information received from or about personnel including:
    • Availability received (dates, times, )
    • Changes in personnel status (active, inactive, part-time, )
    • Changes in personnel addresses, phone numbers,
    • Problems in scheduling or actions requiring disciplinary action
    • Any other information which might be useful to the supervisor in providing quality services to clients
    • Benefits and Authorization
    • Verifies third party reimbursement coverage
    • Follows up on pending unresolved coverage issues
    • Obtaining initial authorization from payer sources to begin services
    • Obtains authorization from insurance companies and keep tracks of any pending authorizations and overdue
    • Assisting with resolving insurance issues, reauthorization, and eligibility issues.
    • Verifying eligibility on a continues basis with all insurance carriers
    • Communication payer verification or benefits issues
    • Facilitating follow-up with payer staff/case managers regarding ongoing services, eligibility and authorization
    • Responsible for completing all mandatory and regulatory training programs
    • Perform other duties as assigned

     

    Qualifications

    Required Training:

    • HIPPA Privacy Course
    • HIPPA Security Course

     Job Skill Requirements:

    • Complies with accepted professional standards and practice
    • Two years’ experience in intake/ scheduling position, preferably in private duty or home health
    • Has an ability to market aggressively and deal tactfully with vendors and referral sources
    • Has knowledge of corporate business management, governmental regulations, and private payer practices.
    • Demonstrates good communications skills, negotiation skills, and public relations
    • Demonstrates autonomy, organization, assertiveness, and flexibility and cooperation in performing job
    • Is self-directed with the ability to work with little
    • Has excellent coordination and communication skills.

           

    Management Skills Required:

    • Customer Service: Must provide timely and accurate responses to all business associates and customers
    • Planning: Must develop effective plans, objectives and goals that achieve desired results in a timely manner
    • Organization: Must organize work in a systematic way, establish clear lines of responsibility, and delegate effectively
    • Communication: Must write and speak clearly and effectively at all levels, listen and be attentive to others
    • Decision Making: Analyze data and make and/or implement effective decisions in a timely manner
    • Technology: Must use technology to its fullest potential to achieve department and corporate goals

     

    Leadership Skills Required:

    • Leadership: Gains acceptance of ideas and accomplishes goals through subordinates, peers and teams
    • Personnel Development: Selects, trains, coaches and develops associates and teams for peak performance
    • Teamwork: Must strengthen team performance by sharing information, establishing guidelines and celebrating success
    • Empowerment: Demonstrates positive and active ownership of one’s responsibilities and fosters the same in others
    • Employee Relations: Provides and solicits constructive feedback, evaluates performance and takes corrective action

     

    Behavioral Traits:

    • Intuitive/Open minded: Must be able to see opportunities, develop and implement creative solutions to complex problems
    • Achievement Drive/Commitment: Driven to achieve goals, objectives and results. Fosters a culture of continuous improvement
    • Positive/Supportive: Inspires and shows faith in others, builds a positive and supportive work environment
    • Flexibility: Ability to adapt to changing business needs. To balance multiple priorities and deliver under pressure

     

    Educational Requirements:

    • Associates Degree

     

    Experience:

    • At least 2 years experience in Home Health or similar field.

     

    Special Conditions of Employment:

    • Criminal background check and/or drug test
    • Initial and continuous exclusion and sanction/disciplinary monitoring
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - OK205
  • Yukon, OK FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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Salon Coordinator
  • Sport Clips - Coordinator - OK210
  • Moore, OK FULL_TIME
  • Sport Clips is seeking a dynamic and enthusiastic Salon Coordinator to join our team and play a pivotal role in delivering exceptional customer service and ensuring the smooth operation of our salon. ...
  • 1 Month Ago

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Benefits Coordinator
  • Spirit Financial Concepts, Inc
  • Tulsa, OK PART_TIME,FULL_TIME
  • Join Our Team as a Commercial Benefits CoordinatorDo you thrive in a teamwork environment where attention to detail and excellent communication skills are essential? If so, we’d love to have you on bo...
  • 3 Days Ago

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Patient Benefits Coordinator/PRCRC
  • Iowa Tribe of Oklahoma
  • Perkins, OK FULL_TIME
  • DescriptionSummary of Responsibilities:Responsible for assuring the identification of patients who are eligible for alternate resources. This position will assist in making applications for alternate ...
  • 4 Days Ago

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Surgery Benefits Coordinator
  • Trinity Staffing
  • Tulsa, OK FULL_TIME
  • Job Title: Surgery Benefits Coordinator Reports To: Manager, Revenue CycleJob Summary: Works up insurance benefits for all upcoming surgeries and some injections for all providers. Sends the deposit r...
  • 4 Days Ago

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Benefits Coordinator
  • Amalgamated Sugar Company
  • Boise, ID
  • Benefits Coordinator Amalgamated Sugar Company - Boise, Idaho Amalgamated Sugar Company is looking for a Benefits Coordi...
  • 3/29/2024 12:00:00 AM

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Benefits Coordinator
  • Medical Specialists of the Palm Beaches Inc
  • Lake Worth, FL
  • Job Type Full-time Description Medical Specialists of the Palm Beaches, Inc. ("MSPB") is a FAST GROWING primary care-foc...
  • 3/29/2024 12:00:00 AM

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Benefits Coordinator
  • Resco Products, Inc.
  • Pittsburgh, PA
  • The Role: This hybrid role offers flexibility, with remote work on Mondays and Fridays, unless special events necessitat...
  • 3/28/2024 12:00:00 AM

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Benefits Coordinator
  • Liberty National Odell Agency
  • Tuscaloosa, AL
  • Job Description Job Description Job description Benefits Coordinator The Odell Agency is looking for an aspiring entrepr...
  • 3/27/2024 12:00:00 AM

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Benefits Coordinator
  • City of Boca Raton
  • Boca Raton, FL
  • Job Description Job Description Do you want to be a part of the team that helps make the City of Boca Raton one of the b...
  • 3/26/2024 12:00:00 AM

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Benefits Coordinator
  • Globe Life AIL: Jack Santosuosso
  • New York, NY
  • Our agency is expanding tremendously here in NEW YORK. Out of 500 offices in the United States, ours here in New York is...
  • 3/25/2024 12:00:00 AM

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Benefits Coordinator
  • HRDelivered
  • Jacksonville, FL
  • As a Benefits Coordinator with the Wellness Team, you will play a crucial role in providing exceptional customer service...
  • 3/25/2024 12:00:00 AM

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Benefits Coordinator
  • Globe Life AIL: Jack Santosuosso
  • Pelham, NY
  • Our agency is expanding tremendously here in NEW YORK. Out of 500 offices in the United States, ours here in New York is...
  • 3/25/2024 12:00:00 AM

Oklahoma is the 20th-largest state in the United States, covering an area of 69,899 square miles (181,040 km2), with 68,595 square miles (177,660 km2) of land and 1,304 square miles (3,380 km2) of water. It lies partly in the Great Plains near the geographical center of the 48 contiguous states. It is bounded on the east by Arkansas and Missouri, on the north by Kansas, on the northwest by Colorado, on the far west by New Mexico, and on the south and near-west by Texas. Much of its border with Texas lies along the Southern Oklahoma Aulacogen, a failed continental rift. The geologic figure defi...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Benefits Coordinator - Healthcare jobs
$42,232 to $52,722

Benefits Coordinator - Healthcare in Pocatello, ID
Your FEHB Plan must also pay benefits first for you or a covered family member during the first 30 months of eligibility or entitlement to Part A benefits because of End Stage Renal Disease (ESRD), regardless of your employment status, unless Medicare (based on age or disability) was your primary payer on the day before you became eligible for Medicare Part A due to ESRD.
January 03, 2020
Benefits Coordinator - Healthcare in Lafayette, LA
Answering your questions about Healthcare and Insurance.
February 02, 2020
Benefits Coordinator - Healthcare in Pueblo, CO
You will receive an Explanation of Benefits (EOB) from your FEHB plan and an EOB or Medicare Summary Notice (MSN) from Medicare.
November 30, 2019