Benefit Coordinator I

Koniag Government Services, LLC•Wolf Point, MT

13d•Onsite

About The Position

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Benefit Coordinator I to support KABS and our government customer at Wolf Point, MT. This position requires the candidate to be able to obtain a Public Trust. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, flexible spending accounts, paid holidays, three weeks paid time off, and more. The Benefit Coordinator I supports the Billings Area Indian Health Service by assisting patients and families in identifying, applying for, and securing alternate healthcare resources. This role ensures the accurate coordination of benefits, improves patient access to eligible services, and supports the financial integrity of IHS programs. The Benefit Coordinator I conducts interviews, verifies eligibility, assists with enrollment processes, and follows up on pending claims to ensure timely resolution.

Requirements

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

Nice To Haves

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.

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.