Benefits Specialist

Job Summary

Facilitates comprehensive linkage and follow-up between clients and staff, and the Cuyahoga County Department of Human Services, Social Security, the Marketplace, The Children’s Health Insurance Program (CHIP) and other organizations that provide benefits.

Responsibilities

• Researches client’s current Medicaid status
• Works with the consumer to obtain and/or maintain their benefits and entitlements
• Collaborates with other members of a client’s treatment team
• Applies sliding fee when appropriate
• Completes ADAMHS “Shares” program process including Diagnostic entry and UCI billing numbers, when appropriate
• Monitors the volume of patients on sliding fee discount program and track hardship requests
• Provides outreach and education to raise awareness about the Marketplace and refer consumers to health insurance ombudsman and consumer assistance programs when necessary
• Conducts public education activities to raise awareness about coverage options available under Medicaid, CHIP, and the Marketplace
• Provides referrals to any applicable office of health insurance consumer assistance or ombudsman established under Section 2793 of the PHS Act to address consumer grievances, complaints, or questions about their health plan, coverage, or a determination
• Acts as the agency’s liaison with the Department of Human Services, ODJFS and/or other service providers that will assist clients with obtaining the entitlements
• Develops professional relationships with other service providers, especially with other agencies that are providing services and/or entitlements to mentally ill individuals
• Engages in accurate and timely record keeping in agency EMR
• Provides assistance and consultation to staff regarding entitlement questions
• Attends continuing education trainings, as directed by their supervisor

Qualifications

• HS diploma or equivalent and related experience in working with entitlements
• Demonstrate and maintain expertise in eligibility and enrollment rules and procedures
• Must have training in the Marketplace and have passed the test for Certified Application Counselors in preparation for the current year open enrollment
• Know and understand the range of qualified health plan options and insurance affordability programs
• Possess a valid Ohio driver’s license

Skills

• Ability to maintain appropriate and required confidentiality ensuring the integrity of sensitive information (written and/or verbal)
• Ability to work on a variety of projects concurrently
• Ability to handle a diversified workload

About The Centers

The Centers through healing, teaching, and inspiring helps individuals and families to reach their full potential. We provide health, family, and workforce services at 11 locations throughout Greater Cleveland, creating life-changing solutions for people to lead healthier and more successful lives. We strive to be a service-oriented workplace that pioneers and co-creates solutions while fostering an inclusive community where our team members thrive. At The Centers, meaningful work is grounded in a culture where people feel valued. As a 2026 USA TODAY Top Workplaces winner, the organization is nationally recognized, based entirely on employee feedback, for trust, purpose, and care. This position plays an important role in advancing our mission and supporting the communities we serve.

Wellbeing And Benefits

• Choice of medical and dental plans
• Health Savings Account
• Flexible Spending Account for Health and Dependent Care
• Vision Support
• Life Insurance
• Retail Savings (401k) with a company contribution
• Mental Health Support
• Employee Assistance Program
• Calm Subscription
• Short and Long-term Disability