Insurance Coordinator

Base Pay Base Pay: $24.79 - $30.13 per hour Employment Type Full Time 1.0 Non-Exempt Contact Information Name: HR Department Phone: View phone number on click.appcast.io Primary Purpose The insurance Coordinator is responsible for managing all insurance-related processes for behavioral health services, including eligibility verification, prior authorizations, benefits coordination, claims support, and payer communications. This role ensures accurate insurance processing, compliance with payer requirements, and a smooth financial experience for clients receiving in-office and telehealth behavioral health services. Ideal Candidate Profile The ideal candidate has strong behavioral health insurance experience, understands mental health CPT/diagnosis codes, and is highly detail-oriented, organized, and client-centered. Education and Experience Minimum 3-4 years of insurance coordination experience, preferably in behavioral or mental health. Strong knowledge of behavioral health insurance benefits, authorizations, and payer rules. Familiarity with CPT, ICD-10, and behavioral health billing workflows. Experience working with Medicaid, Medicare, and commercial payers. Proficiency with EHR and billing systems. Excellent organizational, communication, and problem-solving skills. High attention to detail and ability to manage multiple cases simultaneously. Preferred experience with telehealth behavioral health billing and authorizations. Knowledge of state-specific behavioral health payer requirements. Experience in a nonprofit or community mental health setting. Bilingual (preferred but not required). Minimum Qualifications Proof of current, valid Oregon Driver’s License (or ability to obtain one within 30 days if out-of-state) and comprehensive automobile insurance if applicable. Safe driving record (minimum of 3 years). Successful completion of a Criminal Background Check and Medicaid Fraud Check. Essential Duties, Responsibilities and Core Competencies Verify insurance eligibility and behavioral health benefits prior to services. Confirm coverage for in-office and telehealth behavioral health services. Review co-pays, deductibles, coinsurance, visit limits, and authorization requirements. Accurately document benefits and financial responsibility in the EHR/billing system. Obtain and manage prior authorizations for behavioral health services. Track authorization start/end dates, approved units, and reauthorization timelines. Coordinate with clinicians to obtain required clinical documentation. Communicate authorization status to internal teams and clients as appropriate. Claims & Payer Communication Serve as liaison between the organization and insurance companies. Resolve insurance issues related to coverage, denials, or payment discrepancies. Follow up with payers regarding claims status and required documentation. Assist billing team with insurance-related claim correction and appeals. Client & Team Support Provide clear, compassionate explanation of insurance benefits to clients. Support clinicians and scheduling staff with insurance-related questions. Maintain confidentiality and compliance with HIPAA and behavioral health regulations. Collaborate closely with billing, finance, and clinical teams. Compliance & Documentation Ensure insurance processes comply with payer contracts and state/federal regulations. Maintain accurate, timely documentation of insurance activity. Assist with audits, reporting, and quality assurance related to insurance processes. Physical Demands The physical demands described are representative of those required to successfully perform the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly use hands to type, handle, reach, talk or hear.
• Frequently stand and walk; occasionally sit, stoop, kneel, crouch or crawl.
• Frequently lift or move up to 10 pounds; occasionally lift or move up to 45 pounds.
• Adequate vision for reading, using a computer, and operating a motor vehicle.

Working Conditions

• Frequently exposed to loud noises, outside weather conditions (heat, cold, humidity).
• Occasionally exposed to chemical solutions and body fluids.

Hazardous Conditions Risk of verbal and physical threats and harm from clients; possible exposure to airborne and bloodborne pathogens. Equipment Used General office equipment (computer, telephone, agency or personal vehicle), cleaning supplies, and kitchen supplies. Travel Travel is expected for required trainings. Requirements Meet all Education and/or Experience Requirements listed for the position. Provide official transcripts upon offer of employment. Proof of valid Oregon Driver’s License and comprehensive automobile insurance if applicable. Safe driving record (minimum 3 years). Successful completion of a Criminal Background Check and Medicaid Fraud Check. Obtain and maintain correct CPI Verbal De‑Escalation Certification during employment. Obtain and maintain correct First Aid and CPR certification during employment. Obtain a Food Handler’s Card once employed. Benefits for Full‑Time Employees Medical Insurance – base plan employee premium paid in full with a $3,500 HSA deductible buy‑down by agency. Basic Life and AD&D Insurance. Short‑Term Disability Insurance. Long‑Term Disability Insurance. Employee Assistance Program. Dental and Vision Insurance. Critical Illness and Accident Insurance. Life Insurance. Flexible Spending Account (FSA). Dependent Care Flexible Spending Account (DCFSA). 401(k) contributions with 3% employer match and 3% employer contribution after 1 year and/or 1000 hours of service. Paid Time Off for all full‑time employees. Holiday Paid Time – 6 standard holidays and 4 floating holidays after 90 days of employment. Paid Oregon Sick Time Off for all employees. #J-18808-Ljbffr Theuniversityunion