Benefit Specialist I

About the role

Omnia Healthcare Group is seeking a Benefit Specialist I to join their team. The Benefit Specialist I supports managed care and value‑based program activities by coordinating enrollments, authorizations, and payer updates. This role ensures accurate records, compliance with payer requirements, and collaborates with staff and external partners to resolve coverage or payment issues.

Responsibilities

• Coordinate and support managed care and value‑based program activities, including enrollment, authorizations, payer updates, and compliance reviews.
• Monitor resident census, payer assignments, and benefit utilization to ensure accurate and timely updates in internal systems.
• Manage documentation processes such as authorizations, concurrent requests, appeals, and regulatory notifications, ensuring compliance with payer requirements.
• Collaborate with facility staff, therapy teams, billing/AR, and external partners to maintain accurate records and resolve issues related to coverage, eligibility, or payments.
• Participate in meetings, trainings, and outreach activities as needed to support program operations.
• Support the evaluation and implementation of new programs or processes, adapting responsibilities as organizational needs evolve.
• Perform all other duties, as assigned.

Skills and Abilities

• Displays a positive, cooperative, flexible attitude toward work assignment and requirements.
• Ability to express ideas effectively through verbal and/or written communication.
• Develops and maintains effective relationships with co‑workers, supervisors, and residents.
• Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment throughout the facility.
• Possesses the ability to deal tactfully with co‑workers, residents, family members, agencies and the general public.
• Acts as a mentor and example to all within the facility.

Education and Experience

• High school degree or equivalent (required).
• Previous experience in Skilled Nursing (preferred).

Physical Requirements

• Walking, reaching, bending, lifting, extended sitting, grasping, fine hand coordination, pushing and pulling.
• Ability to distinguish smells and temperatures, with or without the aid of mechanical devices.
• Limited potential for exposure to environmental hazards.
• Understanding and adherence to company safety standards and protocols.
• Meet all health requirements as needed.
• ADA reasonable accommodations are available upon request.

Benefits

• Competitive compensation.
• 401(k) with company match.
• Blue Cross Blue Shield medical insurance.
• Dental, vision, and disability insurance.
• Generous paid time off.
• Opportunities for growth and advancement.

About Omnia Healthcare Group

Omnia Healthcare Group is the home office that supports over 40 skilled nursing facilities and rehabilitation centers. Omnia is dedicated to cultivating a supportive, inclusive, and empowering work environment. The company equips employees with necessary resources, training, and knowledge, nurturing a culture of respect, collaboration, and continuous growth. This enables healthcare professionals to deliver the highest quality, compassionate, and personalized care to the community.