Patient Benefits Coordinator

Description

OPENED: 10/09/2026

CLOSE: 10/26/2026

POSITION: PATIENT BENEFITS COORDINATOR

RESPONSIBLE TO:
Patient Services Manager

SALARY:
Step Range: 9 ($17.80) - 28 ($31.21);
Full Benefits

CLASSIFICATION:
Non-Management, Full-Time, State Funded

LOCATION:

Klamath Tribal Health & Family Services

Healing Place, Klamath Falls, Oregon and/or

Medicine Place, Chiloquin, Oregon

BACKGROUND: P.L. 101-630 Level

The primary purpose of this position is to function as an advocate for patients in the effective utilization of alternate resources such as Medicare, Medicaid, Department of Veterans Affairs (DVA), Bureau of Employment Compensation (BEC), Private Insurance Billing (PIB, Children’s Special Health Services, Aid to Families with Dependent Children (AFDC), Oregon Health Plan, etc. The primary responsibility of this position is to ensure that all patients who are eligible for alternate resources are identified, contacted and encouraged to apply for and maintain eligibility for available benefits.

1. Determine eligibility of patients referred to by Klamath Tribal Health & Family Services’ staff. Provide a response describing initial action taken to the referring staff within three working days upon receipt of referral. Maintain chart notes within the EHR/PM Patient Benefits Notes section and Alternate Resource Master Log documenting all actions taken regarding referral

2. Work closely with Patient Registration, Third Party Billing, Contract Health Services and other front-line staff to ensure all patient information is current, accurate and that all alternate resources are utilized.

3. This position will provide back up for Patient Registration and assist in maintaining current and accurate patient data in the database being utilized by Klamath Tribal Health. This will involve interviewing and screening new and existing patients and informing Patient Registration staff so that the appropriate changes can be made. The Patient Benefits Coordinator may make the changes with approval from the supervisor.

4. Ensure maximal identification of persons who have or are eligible for alternate resources by effectively implementing screening and interview methods.

5. Work closely with all facility staff in identification and proper utilization of all alternate resources available to all patients who utilize Klamath Tribal Health & Family Services, giving emphasis to those who reside in the Klamath Tribes’ Health Service area (Klamath County). Alternate Resources are those that provide direct health assistance for the client, for example Medicaid and Medicare.

6. Assist patients and their families with processing all applications for alternate resources, for example Medicaid and Medicare. Provide interpretation of the rules and regulations from the organization supplying the benefit, as well as the rules governing Tribal/IHS services. Review with patients what is covered and how to use those services. This may require occasional travel to the patient’s home to acquire documentation, assist with applications or to interview the patient for additional information.

7. Transmit all applications for alternate resources to the appropriate agency; track and monitor the processing of applications. Document all activities within the EHR/PM Patient Benefits Notes section and Alternate Resource Master Log.

8. Track all applications for alternate resources throughout the processing period. Follow up to ensure all required information and documentation have been submitted, monitor application status and renewal/end dates, and take timely action to prevent missed deadlines or lapses in coverage. The Patient Benefits Coordinator will contact the patient following…