Benefit Specialist I

Omnia Healthcare Group; Lincolnwood (IL); On-site; USD 40,000 - 56,000; Full time

Benefits offered by this job

Competitive compensation

401(k) match

Medical insurance

Dental/Vision insurance

Paid Time Off

Growth opportunities

Job summary

Omnia Healthcare Group is seeking a Benefit Specialist I to join their team to coordinate enrollments, authorizations, and payer updates, ensuring accurate records and compliance with payer requirements.

You will collaborate with staff and external partners to resolve coverage or payment issues, monitor census and benefit utilization, and support program operations through meetings and trainings. This role emphasizes accuracy, collaboration, and adaptability within a healthcare setting.

Qualifications

• Requires high school degree or equivalent
• Experience in Skilled Nursing preferred
• Strong communication and teamwork skills
• Ability to maintain accurate records and adhere to payer requirements

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.

Skills

Positive attitude

Effective communication

Relationship building

Mentor others

Team collaboration

Interpersonal skills

Education

High school degree or equivalent

Job description

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.

Benefit Specialist I Duties and 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.

Benefit Specialist I Skills and Abilities

• Displays a positive, cooperative, flexible attitude toward work assignment and requirements.
• Has the ability to express ideas effectively through verbal and/or written communication
• Develops and maintains effective relationships with co-workers, supervisors, and residents in the handling of job duties.
• 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.

Benefit Specialist I Education and Experience

• High school degree or equivalent, required.
• Previous expereince 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, all with or without the aid of mechanical devices is required.
• Limited potential for exposure to environmental hazards. Understanding and adherence to company safety standards and protocols required.
• Meet all health requirements as needed.
• Dialogue concerning ADA reasonable accommodations are always available upon request – i.e. the interactive process.

Omnia Healthcare Group Full-Time 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

Omnia Healthcare Group is the home office that supports over 40 skilled nursing facilities and rehabilitation centers. Omnia is dedicated to cultivating a work environment that is supportive, inclusive, and empowering. Our goal is to equip our employees with the necessary resources, training, and knowledge they deserve.

By nurturing a culture of respect, collaboration, and continuous growth, we enable our healthcare professionals to deliver the highest quality care. Together, we strive for excellence, ensuring that our team is motivated, inspired, and equipped to provide compassionate and personalized healthcare services to our community.

Omnia Healthcare Group is an Equal Opportunity Employer and does not discriminate based on any protectedrightsuch as race, color, nationality, gender, age,disabilityor any protected applicable right under the National Labor Relations Act.