Benefits & Access Manager — Revenue Cycle

Helio Health, Inc; City of Utica (NY); On-site; USD 56,000 - 69,000; Full time

Benefits offered by this job

Health insurance including dental and

Vision coverage

Paid vacation and sick leave

401(k) plan with company match

Short-term disability insurance

Life insurance

Employee Assistance Program (EAP)

Job summary

Helio Health, Inc. seeks a Benefits Manager to assist participants with applying for or maintaining eligible insurance and benefits while ensuring documentation compliance. The role includes reviewing enrollment, tracking documents, and coordinating benefits with payers and providers.

You will educate staff on benefit changes, negotiate access to care, and collaborate with Revenue Cycle Management to address regulatory updates. A sign-on incentive may apply based on credentials and experience.

Qualifications

• Associate degree required; bachelor’s degree preferred.
• Qualified health Professional (QHP) preferred.
• Two years of experience in billing or benefits enrollment in health care, social services or managed care setting.
• Equivalent combination of training, education and experience that would provide the required knowledge and abilities about benefit management.
• Excellent ability to work effectively with patients, the professional community and co-workers.
• Excellent customer service skills.
• Excellent attention to detail.
• Excellent verbal and written communication skills.
• Must have excellent computer skills with a basic knowledge of electronic Health record systems, health care billing systems and insurance portals.
• Strong computer skills including Microsoft Word, Outlook and Excel.

Responsibilities

• Review insurance enrollment, certification and other local, state and federal requirements with participants.
• Support participants through tracking and support of documentation needs, eligibility, level of benefits, authorization requirements, re-enrollment and coordination of benefits.
• Review participant obligations of patient financial responsibility, discount fee options and payment planning.
• Assist in developing and administering procedures for participant benefit management.
• Negotiate access to care for individuals seeking services at Helio Health, Inc.
• Educate program staff on evolving benefit changes and requirements.
• Use effective relationship management, coordination of services, resource management, education and patient advocacy to promote improved quality of care and/or life.
• Attend training on benefits plan changes and requirements to stay abreast of all current information.
• Participate in program, administrative and clinical committees as assigned, represent the agency to the community.

Skills

Customer service

Communication skills

Attention to detail

Verbal and written communication

Billing systems knowledge

Microsoft Word/Outlook/Excel

Education

Associate degree

Bachelor's degree preferred

Tools

Electronic Health Record (EHR) systems

Healthcare billing systems

Job description

Helio Health, Inc. seeks a Benefits Manager to assist participants with applying for or maintaining eligible insurance and benefits while ensuring documentation compliance. The role includes reviewing enrollment, tracking documents, and coordinating benefits with payers and providers.

You will educate staff on benefit changes, negotiate access to care, and collaborate with Revenue Cycle Management to address regulatory updates. A sign-on incentive may apply based on credentials and experience.