Patient Health Benefits Specialist II

About the role

This position is expected to perform a higher level of generally more complex job-specific responsibilities from Health Benefits Specialist I. The Health Benefits Specialist is responsible for providing frontline health benefits enrollment to patients. Serves as a resource and referral resource for patients for initiating health care coverage. The Health Benefits Specialist role is to determine whether patients currently have a third-party payer. If not insured, the Health Benefits Specialist screens and evaluates whether patient may qualify for any known payer sources, i.e., Medicaid, Medicare, VA, Federal Insurance Marketplace, Sliding Discount, and provides assistance to the patient for the enrollment process. The Health Benefits Specialist assists SEARHC to achieve the goal of increasing the number of patients enrolled with a third-party payer.

Responsibilities

• Maintains collaborative, team relationships with peers and colleagues to contribute to the working group’s achievement of goals effectively, and to help foster a positive work environment.
• Protects confidentiality/privacy in verbal, written, and electronic forms of communication or information sharing.
• Raises concerns in an appropriate manner and according to policy.
• Consistently exhibits behavior and communication skills that demonstrate SEARHC’s commitment to superior customer service, including quality, care, and concern with each and every internal and external customer.
• Provides exceptional customer service in assisting patients enrolling in third party payers including Medicaid, Medicare, Denali Kid Care, VA, Federal Insurance Marketplace, and Sliding Discount.
• Obtains and documents necessary information accurately and timely.
• Distributes health benefits material to patients, community members, partner organizations and businesses to build coverage option awareness.
• Celebrates SEARHC’s mission, core values, and vision in behaviors, practices, policies, and decisions.
• Coordinates and leads small scale projects.
• Facilitate educational events and presentations.
• Proficient in public speaking.
• Makes meaningful improvement to services, program, processes, and organizational effectiveness that creates new value for patients and employees.
• Acts as a resource, mentor, and trainer for entry-level Health Benefits Specialist I personnel and Patient Access Representatives, as appropriate.
• Orients new Health Benefits Specialist I staff to the department and SEARHC systems and processes.
• Communicates effectively with patients, physicians, and/or other departments regarding delays or issues relating to health insurance programs.
• Responds to questions on standard procedure and best practices from team members.
• Completes and supports additional patient access related activities as assigned.
• Makes recommendation for FAP/HRSA approval

Requirements

• High School Diploma or equivalent – required.
• Bachelor's degree or 3+ years benefits enrollment experience or equivalent combination of education and experience or demonstrated proficiency.
• Certified Application Counselor (CAC) with CMS or obtain within 45 days of hire.
• Medicare Counselor Certification or obtain within 6 months.
• Completion of Department of Veterans Affairs-Tribal Veteran Representative training or obtain within 1 year of hire.

Qualifications

• Knowledge of Understanding and/or willing to learn tribal health programs and alternate resources.
• Knowledge and demonstrated use of customer service principles.
• Knowledge of data entry, retrieval, and reporting.
• Medical Terminology.
• General office functions, office equipment, and computer applications.
• Detail oriented with above average organizational skills.
• Administrative and clerical knowledge including word processing, managing files and records, office procedures, computer software.
• Time-management and organizational ability.

Skills

• Effective oral and written communication skills.
• Skills in using a database.
• Performs job with minimal supervision and demonstrates problem-solving skills.
• Skills in operating a computer utilizing a variety of software applications.
• Works independently and as a team.
• Good interpersonal, verbal, and written communication.
• Strong attention to detail.
• Actively look for ways to help people.
• Comfortable with ambiguity, exhibit good decision making and attention to detail.
• Develop and maintain effective relationships through clear, encouraging, and timely communication.
• Excellent interpersonal skills and have the ability to interact on a professional level with individuals from diverse backgrounds.
• Ability to multi-task and work independently in a fast paced environment.
• Ability to respond quickly in urgent situations with attention to detail.
• Ability to problem solve and use conflict resolution skills.
• Prioritize work in multi-task in a fast-paced office setting with many interruptions.
• Self-start and willingness to learn.
• Read and comprehend simple instructions, short correspondence, and memos.
• Time-management, organizational, and customer service skills.

Benefits

SEARHC offers generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Pay

Pay Range:$25.00 - $33.71

Schedule

M-F 8-5