Benefits Specialist

Lone Star Circle of Care; Round Rock (TX); On-site; USD 42,000 - 56,000; Full time

Benefits offered by this job

Medical, Dental, and Vision insurance

LSCC paid Life insurance

LSCC paid Short-Term and Long-Term Dis

Paid Time Off

403b Employee Retirement Plan

Job summary

Lone Star Circle of Care (LSCC) in Round Rock, TX seeks a Benefits Specialist to help patients enroll in Medicaid, CHIP, SNAP, Marketplace, and other health coverage programs. The role includes screening for eligibility, assisting with applications, and ensuring accurate enrollment through multiple systems.

Ideal candidates have healthcare exposure, eligibility or enrollment experience, and bilingual English/Spanish skills.

Qualifications

• Minimum of one year experience in health care field preferred.
• Minimum of two years' experience in program eligibility or related health and human-services work preferred.
• Medical program application completion and enrollment experience preferred.
• Bilingual English/Spanish language skills are a definite plus.

Responsibilities

• Provide non-biased information regarding available coverage options and benefits.
• Assist with filling out applications for coverage and enrollment.
• Verify documents and information for eligibility and enrollment.
• Register patients for program participation and enrollment in Marketplace and safety-net programs.
• Maintain patient documentation using VeritySource, Athena and other tools.

Skills

Healthcare experience

Eligibility screening

Enrollment experience

Bilingual English/Spanish

Education

High school diploma or GED

Tools

VeritySource

Athena

Insurance verification tools

Job description

We are seeking a Benefits Specialist who is passionate about making a difference in our community. At Lone Star Circle of Care (LSCC) we strive for exceptional, equitable patient care that leads to healthier communities. Our Benefits Specialists will facilitate consumer enrollment in insurance coverage in health care safety net programs such as Medicaid, CHIP, SNAP, and County Indigent programs. The Benefits Specialists may also facilitate consumer enrollment in insurance coverage through the federal Health Insurance Marketplace. The Benefits Specialists will screen individuals and families to determine eligibility for benefits and assist them in completing the application and enrollment process to obtain health care coverage. The Benefits Specialists may provide telephonic and in-person program registration services for new and returning LSCC patients.

We ask our Benefits Specialists to possess a minimum of:

• High school diploma or GED

The following experience/skills are preferred:

• Minimum of one (1) year experience working in the health care field
• Minimum of two (2) years' experience in program eligibility or related health and human-services work
• Medical program application completion and enrollment experience
• Bilingual English/Spanish language skills are a definite plus

A Day in the Life of a Benefits Specialist may look like this:

• Provides non-biased information regarding available coverage options and benefits
• Fills out or helps to fill out appropriate application
• Verifies documents and information gathered telephonically by Program Advisors when patient presents for face-to-face appointments
• Receives scheduled and unscheduled calls through Patient Navigation Center and face-to-face encounters at clinical and other settings to conduct various Program Registration functions
• Performs program registration thoroughly to ensure highly accurate screening and enrollment outcomes for the federal Health Insurance Marketplace, health care safety net programs, and LSCC Sliding Fee Scale assignment
• Accurately identifies programs for which patient may be eligible
• Using VeritySource, Athena, and available insurance verification programs and other automated tools, maintains all patient documentation necessary to complete assignments and certify clients/patients in the appropriate programs
• Acquires and maintains knowledge and expertise in eligibility, enrollment, and program specifications of the federal Marketplace and other programs such as Medicaid and CHIP

Key Success Factors

• The ability to problem solve
• Organizational skills
• Attention to detail
• Team player personality
• Time management

Benefits

• Competitive salary;
• Medical, Dental, and Vision insurance;
• LSCC paid Life insurance;
• LSCC paid Short-Term and Long-Term Disability insurance;
• Paid Time Off; and
• 403b Employee Retirement Plan