Benefits and Eligibility Specialist

About the role

This is a client-facing position, not an internal HR or employee benefits role. Assist FCS clients with applying, navigating, and understanding insurance benefits. Serve as the agency’s insurance expert and liaison between clients and staff to maximize reimbursement.

Responsibilities

• Assist FCS clients with applying, navigating, and understanding insurance benefits.
• Serve as the agency’s insurance expert and liaison between clients and staff to maximize reimbursement.
• Verify client insurance information and make applicable updates in the EHR.
• Determine client eligibility for Medicaid, Medicare, or other applicable insurance.
• Aid in Medicaid enrollment and re-enrollment.
• Affirm applications are completed correctly with required supporting materials.
• Provide unbiased Medicaid insurance information to current and prospective clients regarding the Medicaid Contracted Entity benefits plans aka "SoonerSelect" benefits plans.
• Handle questions, issues, and provide detailed information on Oklahoma Medicaid eligibility, rules, benefits, and requirements for enrollment or re-enrollment.
• Documenting client paperwork into the FCS database.
• Provide outreach to clients to assist with education and comprehension of Medicaid enrollment, re-enrollment, and coverage.
• Utilize reports to target and assist with updating client insurance information.

Requirements

• High school diploma or equivalent.
• Driver's license and satisfactory driving record to navigate to other FCS business sites.

Preferences

• Medicaid and insurance experience preferred.
• Mental health experience preferred.
• Bilingual in Spanish and English strongly preferred.

Skills

• Exceptional computer skills- must be highly proficient with Microsoft Office Suite products.
• Strong attention to detail and efficiency interacting with online data entry and web-based programs.

Benefits

Competitive salary, exceptional benefits and 34 paid days off to start!

Pay

$18.60 an hour.

Schedule

N/A