The Benefit Specialist plays a vital role in facilitating access to healthcare services by conducting comprehensive eligibility assessments to determine patients' eligibility status for HealthPoint healthcare programs and services.
Responsibilities include:
- Conduct eligibility assessments for HealthPoint/FQHC programs
- Review and verify patient demographics, income, residency, and eligibility criteria
- Collaborate with patients, medical staff, and other departments for documentation
- Stay current on HealthPoint/FQHC guidelines and regulations
- Assist patients with enrollment and application completion
- Provide guidance throughout the enrollment process ensuring timely submissions
- Ensure data integration into electronic health records (EHR)
- Verify insurance and program eligibility
- Maintain confidential patient records
- Advocate and educate patients about healthcare programs and financial assistance
- Communicate effectively and compassionately with patients
- Adhere to compliance requirements and report accurately
- Maintain expertise in Federal Marketplace, Medicaid, CHIP and other programs
- Participate in training and certification programs
- Perform additional duties as assigned
The role requires empathy, excellence, enjoyment, commitment to patient/customer service, collaboration, quality improvement, and accountability.
Requirements & Qualifications
- Knowledge of eligibility determination for healthcare programs (Medicaid, CHIP, Federal Marketplace)
- Experience in patient advocacy and enrollment assistance
- Strong communication and interpersonal skills
- Ability to manage confidential patient information
- Commitment to compliance and quality standards
- Willingness to participate in required training and certification
Benefits & Perks
Not specified
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago