Patient Resource/Benefits Coordinator Lead

Oklahoma City Indian Clinic•Oklahoma City, OK

8d•Onsite

About The Position

Oklahoma City Indian Clinic (OKCIC) is a non-profit corporation that provides culturally sensitive health care to the American Indian population. OKCIC services not only include basic medical care, but also dental, optometry, behavioral health services, fitness, nutrition and other family programs. Our mission is to provide excellent healthcare to American Indians. We do this by putting people first, providing quality services, and maintaining our Integrity and Professionalism. We are looking to add compassionate team players to our growing team as we continue to work toward our goal of becoming the national model for American Indian Health Care. The Oklahoma City Indian Clinic (OKCIC) is seeking a detail-oriented and patient-focused Lead Benefits Coordinator to provide leadership and operational support to the Benefit Coordination team. This role plays an important part in coordinating third-party resources, assisting patients with benefit enrollment, supporting daily team operations, and maintaining quality standards and regulatory compliance. The ideal candidate will have strong organizational, communication, and leadership skills, a commitment to patient advocacy, and the ability to work effectively with patients, staff, and community partners while supporting OKCIC’s mission to serve our Native American community. Applicants claiming Indian Preference must complete the full application and must provide documentation verifying eligibility (such as a tribal enrollment card or Certificate of Degree of Indian Blood (CDIB)).

Requirements

Must align with OKCIC Vision, Mission, and Core values
Minimum of three (3) years of healthcare experience in patient access, insurance verification, benefits coordination, eligibility, patient advocacy, or related healthcare services required.
Microsoft Office and general computer skills required.
Effective verbal, written, and interpersonal communication skills required, with the ability to maintain patient confidentiality and work effectively in a healthcare environment.

Nice To Haves

Associate’s degree in Healthcare Administration, Business Administration, Public Health, Health Information Management, or related field preferred.
Experience with EHR, RPMS, eligibility verification systems, insurance enrollment platforms, or similar healthcare systems preferred.
Knowledge of Medicaid, Medicare, Health Insurance Marketplace, insurance verification, third-party payer requirements, and healthcare registration preferred.

Responsibilities

Provides leadership, guidance, conflict resolution, and operational support to Benefit Coordinators and serves as a liaison between staff, patients, and the Director of Patient Resource Services.
Conducts comprehensive patient interviews to assess eligibility for federal, state, tribal, private, and other healthcare coverage programs and available resources.
Educates patients regarding healthcare coverage options, benefits, eligibility requirements, financial responsibilities, and applicable healthcare programs.
Assists patients with applications, renewals, enrollment, and ongoing eligibility requirements for Medicaid, Medicare, Health Insurance Marketplace plans, Medicare Part D, premium assistance programs, veteran benefits, and other resources.
Provides Medicare counseling and enrollment assistance, including education regarding benefits, supplemental coverage, Medicare Advantage, prescription drug coverage, and annual enrollment opportunities.
Provides outreach, education, plan comparisons, enrollment assistance, and eligibility counseling related to Health Insurance Marketplace coverage and premium tax credits.
Conducts outreach and benefit counseling for active-duty service members, veterans, and their families to identify available benefits and resources.
Verifies and maintains accurate Medicaid, Medicare, private insurance, and other third-party coverage information using designated eligibility verification systems.
Maintains accurate patient documentation and electronic records, including scanning, indexing, and managing eligibility, insurance, registration, and supporting documentation in RPMS and other applicable systems.
Monitors benefit coordination activities, patient records, and documentation to ensure accuracy, quality, compliance, and timely follow-up.
Provides training, onboarding, coaching, and ongoing support to Benefit Coordination staff to promote consistent application of policies, procedures, regulatory requirements, and customer service standards.
Coordinates staff schedules, evaluates workloads and resource needs, and supports efficient daily operations of the Benefit Coordination team.
Collaborates with patients, providers, registration staff, payers, tribal organizations, community agencies, and other stakeholders to support continuity of care and access to healthcare services.
Provides backup support for Patient Registration and other Patient Resource Services functions as needed.
Participates in quality improvement activities, reporting requirements, outreach initiatives, and departmental projects designed to improve patient access, insurance coverage, and healthcare outcomes.
Maintains patient confidentiality and complies with HIPAA, CMS regulations, organizational policies, and applicable healthcare requirements.
Performs other patient advocacy, eligibility, enrollment, benefits coordination, and departmental support duties as assigned.