Coordinator of Government Benefits

The Coordinator of Government Benefits serves as an advocate for our sisters, ensuring they receive appropriate medical care and benefits. This role involves coordinating enrollment in government programs, liaising with Social Security Administration, and assisting with the processing and payment of medical bills. The coordinator works closely with healthcare providers, government agencies, and internal staff to ensure the well-being of the sisters.

Essential Duties and Responsibilities

Advocate for the rights of our sisters with medical providers and government agencies to secure appropriate benefits.

• Coordinate enrollment, change notices and terminate coverage of sisters in Medicare, Medicaid, and other applicable government programs.
• Facilitate communications with commercial insurance companies.
• Educate sisters about their medical benefits and available resources.

Maintain a high level of expertise on relevant government benefit programs.

• Research annual changes of covered & non-covered services and of government benefits.
• Review monthly pharmacy invoices for opportunities to reduce costs, change the sister’s plan if necessary, or change pharmacies.
• Provide regular reports to department manager.

Coordinate the administration of government and entitlement benefits for the School Sisters of Notre Dame.

• Determine eligibility of benefits for Sisters within your designated service area. If a sister isn’t eligible for a program due to income and/or asset limits, continue to monitor her income/assets for possible enrollment if her financial situation changes.
• Process applications, ensure proper authorization is signed by sister to act on her behalf.
• Coordinate change submissions with government agency within their guidelines.

Research, verify and approve payment of all medical bills incurred by sisters.

Collaborate with internal teams to ensure comprehensive care and support for the sisters.

Maintain accurate records and documentation systematically and consistently to ensure their correctness, completeness and reliability. This includes using a clear organized system for storing and retrieving information, as well as regular reviewing and updating records to catch errors or discrepancies. This includes database coordination.

Collaborate with SSND Wellness Department, Community Coordinators and others to assess the sister’s needs for appropriate level of care (IL, AL, Skilled) and housing.

When necessary, coordinate the Aging and Disability Resource Center (ADRC), Family Care (FC) and PACE to enroll in long-term programs. Work with the FC and PACE Managed Care Organization (MCO), Community Care, to ensure the sister’s needs are met and all services are provided. Keep up with all policies and procedures.

Qualifications

• Requires experience working in healthcare advocacy, medical billing office, social work, or related field, including use of the skills listed below or aptitude to learn.

Knowledge, Skills and Abilities

• Requires knowledge government benefit programs such as Social Security, Medicare and Medicaid.
• Strong administrative, organizational and problem-solving skills.
• Excellent communication and interpersonal skills, with compassion and patience.
• Ability to maintain a high level of confidentiality.
• Ability to navigate complex healthcare and government systems.
• Must be able to plan, implement and work with minimal direct supervision.
• Ability to set and rearrange priorities.
• Ability to work independently as or as a team.
• Ability to work accurately with a high level of detail.
• Proficiency in Microsoft Office (Outlook, Word, Excel, and PowerPoint) and database management.
• Commitment to the mission and values of the organization.