Patient Benefits Specialist

Responsibilities

• Promote and educate patients on various health coverage options.
• Determine eligibility and enroll patients in insurance plans such as Labor of Industries, Affordable Care Plan (ACP), Medicaid/Medicare, and The Marketplace.
• Complete and submit health coverage applications according to plan requirements.
• Process renewal applications and provide monthly reports of outcomes.
• Handle general patient benefit duties, including switching plans and primary care providers.
• Document patient encounters in the patient management system.
• Answer telephone inquiries about patient benefits and respond within 3 hours or the next business day.
• Generate weekly self-pay encounter reports to offer appropriate benefit plan options.
• Perform audits on ACP applications as assigned.
• Contribute to a positive work culture and adhere to clinic policies and the WE CARE standards of behavior.

Requirements

• Basic written and verbal communication skills.
• Computational and computer skills.
• Mathematical knowledge.
• Ability to understand various health care plans.
• Ability to obtain and maintain Navigator Certification for the Washington State Healthcare Exchange.
• Basic proficiency in Microsoft Word, Excel, and PowerPoint.
• Effective communication skills, including complex concepts, written correspondence, and verbal presentations.
• Bilingual in English and Spanish.

Qualifications

Must uphold confidentiality regarding CBHA activities, reports, financials, patient health information, and other proprietary information.

Skills

• Excellent communication skills.
• Knowledge of various health care plans.
• Basic computer skills.
• Ability to handle confidential information.

Benefits

Click here for a summary of our Benefits we offer!