Benefits Specialist

Project-Home; Philadelphia (Philadelphia County); On-site; USD 26,000 - 37,000; Full time

Benefits offered by this job

Competitive compensation

Medical, dental, and vision insurance

Company-paid life and disability

Paid parental leave

401(k) with employer matching

Generous PTO and sabbatical leave

Employee wellness programs

Career development opportunities

Job summary

Project HOME is a nationally recognized nonprofit dedicated to ending homelessness and poverty. The Benefits Specialist role at Stephen Klein Wellness Center supports patients navigating Medicaid, Marketplace, Medicare, and sliding fee programs to ensure access to coverage and services.

You will assist with applications, maintain patient records in eCW, and provide compassionate, hands-on support to individuals facing barriers to healthcare in a full onsite setting.

Qualifications

• Bachelor's degree or relevant experience in FQHC, health center, benefits navigation, or similar.
• Knowledge of Medicaid applications through the PA COMPASS system.
• Experience navigating benefits, insurance, healthcare or public assistance systems.

Responsibilities

• Help patients understand and access Medicaid, Marketplace, Medicare and other coverage.
• Screen uninsured patients for coverage options and assist with applications via COMPASS.
• Manage sliding fee applications and enter data accurately in eCW.
• Explain sliding fee eligibility and requirements to patients clearly.
• Review eligibility reports and resolve coverage or eligibility issues.

Skills

Medicaid navigation

Customer service

Communication

Language skills

Education

Bachelor's degree or relevant experience

Tools

eCW (eClinicalWorks)

Epic

Job description

At Project HOME, every role contributes to our mission of empowering individuals to achieve stability, wellness, and self-determination. As a Benefits Specialist, you'll help patients overcome barriers to healthcare by connecting them with insurance coverage, financial assistance, medications, specialty care, and other essential resources.

You’ll work directly with patients to navigate Medicaid, Marketplace, Medicare, Project HOME's sliding fee program, and other benefits while helping ensure accurate coverage information and supporting the financial sustainability of our Federally Qualified Health Center (FQHC).

If you enjoy helping people navigate complex systems, solving problems, and providing compassionate, hands‑on support, we’d love to hear from you.

Location: Stephen Klein Wellness Center, 2144 Cecil B. Moore Avenue, Philadelphia, PA 19121
Schedule: Monday-Friday | 9:00 AM-5:00 PM | Fully onsite
Compensation: $23.00/hour

What You’ll Do

Help Patients Access Benefits & Coverage

• Help patients understand and access Medicaid, Marketplace, Medicare, supplemental Medicare, and other available health coverage.
• Screen uninsured patients for coverage options and assist with completing and submitting applications, including through Pennsylvania COMPASS.
• Manage Project HOME sliding fee applications, ensuring information is accurately entered in eClinicalWorks (eCW) and updated as required.
• Explain sliding fee eligibility and requirements to patients in a clear and supportive way.
• Review electronic eligibility reports and resolve coverage or eligibility issues, including same‑day patient updates.

Support Access to Healthcare

• Help patients access specialty care by supporting referrals, prior authorizations, Benefit Limit Exceptions, scheduling, and related documentation.
• Maintain accurate Medicaid application and patient records within the practice management system.
• Support patient outreach, scheduling, and Wellness Center recruitment efforts.
• Maintain and update the SKWC Resource Guide and community partnerships that support patient access.

Provide Patient‑Centered Support

• Provide compassionate, professional one‑on‑one support to patients navigating complex benefits and coverage issues.
• Support individuals who may be experiencing homelessness, trauma, behavioral health needs, substance use, or other barriers to care.
• Manage a patient‑facing workload that may include approximately four to six one‑hour patient sessions per day.
• Provide Patient Services Representative and Medical/Dental Reception coverage during breaks, absences, and other operational needs.

What You’ll Need

• Bachelor's degree or relevant experience in an FQHC, health center, benefits navigation, or similar setting.
• Knowledge of Medicaid insurance applications through the Pennsylvania COMPASS system.
• Experience navigating benefits, insurance, healthcare, government assistance, or similar systems.
• Strong oral and written communication, interpersonal, and customer service skills.
• Strong attention to detail, accuracy, critical thinking, and problem‑solving skills.
• Ability to analyze information, manage competing priorities, work under pressure, and adapt to changing needs.
• Comfort using electronic systems, spreadsheets, and documentation tools accurately and consistently.
• Ability to work effectively and compassionately with individuals experiencing barriers to healthcare.

What You May Bring

• Experience with eClinicalWorks (eCW), Epic, or another EHR/EMR system.
• Experience with Medicaid, Medicare, Marketplace coverage, insurance eligibility, or public benefits.
• Previous experience in an FQHC, healthcare, social services, case management, or residential services environment.
• Experience with trauma‑informed care, motivational interviewing, crisis de‑escalation, or conflict management.
• Experience supporting individuals experiencing homelessness, behavioral health needs, substance use, or other complex barriers.
• Ability to speak a language other than English.

What We Offer

Project HOME is committed to supporting the well‑being of our employees through a comprehensive benefits package.

Eligible employees enjoy:

• Competitive compensation
• Medical, dental, and vision insurance with low employee costs
• Company‑paid life and disability insurance
• Paid parental leave
• Flexible Spending Accounts
• 401(k) with employer matching
• Generous Paid Time Off, including paid sabbatical leave
• Employee wellness programs
• Professional development and career growth opportunities

Who We Are

Project HOME is a nationally recognized nonprofit dedicated to ending homelessness and poverty through integrated housing, healthcare, education, employment, and supportive services.

Equal Opportunity Employer

Project HOME is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where everyone is treated with dignity and respect. Employment decisions are made without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.

Project HOME conducts background checks, reference checks, and drug screenings on all final candidates as a condition of employment.