Benefit Program Specialist (FSH)

State-of-Missour; Fulton (MO); On-site; USD 35,000 - 43,000; Full time

Job summary

Fulton State Hospital is seeking a Benefit Program Specialist to manage approval and monitoring of consumer benefits, including Medicare Part B, Medicaid, and SSDI/SSI, within the Accounting/Reimbursements Office.

The role requires attention to detail, strong communication, and the ability to organize and plan independently while adhering to hospital policies and state guidelines.

Qualifications

• Knowledge of Medicare Part B, Medicaid, and SSDI/SSI processes.
• Ability to interview consumers for financial resources and set rates.
• Familiarity with hospital benefit systems and state resources preferred.

Responsibilities

• Apply and monitor consumer benefits such as Medicare Part B, Medicaid, and SSDI/SSI.
• Maintain consumer files with all financial information.
• Interview consumers to assess financial resources and set rates per the Standard Means Test.

Skills

Attention to detail

Communication

Organizational skills

Tools

Microsoft Excel

Microsoft Access

Job description

Benefit Program Specialist

Salary: $39,276/year

Job Location:

Fulton State Hospital – Accounting/Reimbursements Office

600 East Fifth Street

Fulton, MO 65251

Why you’ll love this position:

Fulton State Hospital is a community of caring, skilled people, partnering with individuals challenged by mental illness to inspire healing and recovery. Through Respect, Encouragement, Compassion, Opportunity, Value, Excellence, and Responsiveness, YOU can contribute to individuals’ recovery and positively impact those you serve by being a team member within our Accounting Department.

This position is responsible for applying and monitoring consumer’s benefits such as Medicare part B, Medicaid, and SSDI/SSI.Maintaining consumer’s files of all financial information.Interviewing consumers for financial resources and set rates according to the Standard Means Test.

In addition to the minimum qualifications listed below a successful candidate should have the knowledge of research methods related to insurance eligibility and the ability to identify and resolve application issues. Attention to detail and accuracy are crucial. Candidates must have a demonstrated record of excellent communication, planning, organization skills and the ability to problem solve and work independently.

Minimum Qualifications:

• Must have satisfactory performance, no written reprimands within the past 6 months, and no other disciplinary actions during the past 12 months.
• Adheres to the safety and security policies for the hospital.
• Embraces the mission, vision, and values of the hospital and shows respect daily.

Preferred Qualifications:

• Working knowledge of CIMOR, MO HealthNet, Cerner EHR systems, FAMIS
• Proficiency in Microsoft Excel & Access
• 2 to 4 years of relevant experience. (Substitutions may be allowed)

The State of Missouri offers an excellent benefits package that includes a defined pension plan, generous amounts of leave and holiday time, and eligibility for health insurance coverage. Your total compensation is more than the dollars you receive in your paycheck. To help demonstrate the value of working for the State of Missouri, we have created an interactive Total Compensation Calculator. This tool provides a comprehensive view of benefits and more that are offered to prospective employees. The Total Compensation Calculator and other applicant resources can be found here.

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