Patient Benefits Specialists-Closes 05/01/2026

Confederated Tribes of Siletz Indians • Siletz, OR

2h • $25

About The Position

The person in this position works with uninsured patients and community members to determine insurance eligibility. Assists in initial enrollment and renewal process to ensure continued coverage.

Requirements

• Associates Degree in health administration area or related field - OR – an equivalent combination of specialized experience and/or education. Specialized experience is experience which is directly related to the position to be filled.
• Knowledge of: Medical terminology.
• Experience in: Working with MMIS, Word, Excel, and related computer applications.
• Ability to: Become a certified Application Counselor/Assister in Oregon and Federal Marketplace.
• Work with a wide variety of people and able to communicate effectively to tribal and community members, staff, insurance companies as well as federal, state and local health agencies.
• Handle possible stressful situations involving explanation of insurance eligibility and benefits to patients with little or no knowledge of insurance practices.
• Must be well organized and able to handle a large volume of work.

Responsibilities

• Serves as key contact person for all tribal members and community members for OHP/Cover Oregon/ Federal Facility Market (FFM). Helps individuals understand and access affordable healthcare options.
• Demonstrates and maintains expertise in eligibility and enrollment rules and procedures.
• Collaborates with staff to provide outreach.
• Assists patients in determining eligibility for the Oregon Health Plan/Cover Oregon/ FFM including application process, renewals, and appeals & grievances.
• Explains benefits and services covered by insurances and Purchase Referred Care.
• Connects patients with providers and resources in their area.
• Acts as Patient liaison before OHP/Cover Oregon/FFM including processing urgent health coverage through Oregon Health Authority.
• Assists and answers patient concerns with explanation benefits (EOB's) and insurance denials.
• May also perform other duties as needed and assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 1-10 employees