Benefits Eligibility Lead & Navigator Supervisor

Hchmd; Baltimore (MD); Vor Ort; USD 49.000 - 57.000; Vollzeit

Zusammenfassung

Hchmd in Baltimore, MD is seeking a Benefits Eligibility Coordinator to work across a multi-specialty Federally Qualified Health Center, ensuring clients are assessed for health insurance eligibility and that Medicaid MCO pre-certifications are secured for reimbursement.

The role includes supervising a team of Benefits Eligibility Specialists, coordinating with HCAM, MCOs, and state agencies, and driving efficient workflows within the revenue cycle while maintaining HIPAA compliance.

Qualifikationen

• Associate degree or equivalent experience in health access or related field.
• Certified Navigator certification required within six months of hire.
• Experience with HIPAA, ADA, and health insurance regulations.
• Three years of health insurance eligibility/verification experience.

Aufgaben

• Directly train, supervise and appraise a team of Benefits Eligibility Specialists.
• Perform duties of a Certified Insurance Navigator as needed.
• Coordinate with external entities (Medicaid MCOs, HCAM, HC benefits).
• Monitor KPIs and implement efficient workflows in revenue cycle.

Kenntnisse

Team leadership

Supervision

Health insurance eligibility

HIPAA & ADA knowledge

Motivational Interviewing

De-escalation techniques

Training and development

Public health insurance knowledge

Ausbildung

Associate’s degree

Certified Navigator certification

Tools

Practice management systems

Jobbeschreibung

Hchmd in Baltimore, MD is seeking a Benefits Eligibility Coordinator to work across a multi-specialty Federally Qualified Health Center, ensuring clients are assessed for health insurance eligibility and that Medicaid MCO pre-certifications are secured for reimbursement.

The role includes supervising a team of Benefits Eligibility Specialists, coordinating with HCAM, MCOs, and state agencies, and driving efficient workflows within the revenue cycle while maintaining HIPAA compliance.