Benefits Specialist

Circle Internet Financial Limited; Round Rock (TX); On-site; USD 42,000 - 62,000; Full time

Job summary

Lone Star Circle of Care (LSCC) seeks a Benefits Specialist to support consumer enrollment in health coverage programs and assist patients with the enrollment process. You will screen for eligibility and guide clients through applications for Medicaid, CHIP, SNAP, and Marketplace options, using available verification tools and offering in-person or telephonic registration.

Ideal candidates have a high school diploma or GED, with preferred experience in health care enrollment and bilingual

Qualifications

• Minimum of a high school diploma or GED is required.
• Experience in health care eligibility or enrollment preferred.
• Bilingual English/Spanish is a plus.

Responsibilities

• Provide information on coverage options and benefits to program participants.
• Help fill out applications for Medicaid, CHIP, SNAP, and Marketplace enrollment.
• Verify documents by phone or in person to support enrollment eligibility.
• Handle calls in the Patient Navigation Center and face-to-face enrollment activities.
• Conduct program registrations to ensure accurate screening and enrollment outcomes.
• Identify programs for which patients may be eligible and assist enrollment.
• Maintain patient documentation using VeritySource, Athena, and other tools.
• Maintain knowledge of eligibility, enrollment, and marketplace program rules.

Skills

Problem solving

Organizational skills

Team player

Time management

Education

High school diploma or GED

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.

If you have the ambition and desire to work in a friendly and fun environment, LSCC is the place for you!

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

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

Key Success Factors

Some key factors that will make an individual successful in this role:

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

Benefits

LSCC offers a competitive benefits package, including:

• 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