Patient Benefits Navigator

Access Community Health Network; Chicago (IL); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Tuition reimbursement

Healthcare coverage (Medical, Dental,,

Generous PTO

403(B) retirement plan

Life Insurance

Cross-department collaboration

Job summary

Access Community Health Network seeks a Patient Benefit Specialist to help patients understand insurance coverage, determine eligibility, and review available financial assistance options. The role focuses on maximizing ACCESS’ reimbursement while ensuring patients grasp their responsibilities and options.

You will conduct comprehensive benefit assessments and screenings, assist with program enrollment, update the electronic health record with accurate benefit data, and coordinate with providers

Qualifications

• Minimum of two years of customer service experience.
• Knowledge of Medicare, Medicaid, Marketplace and HMO regulations.
• EPIC EHR experience preferred.
• Bilingual in English and Spanish preferred.

Responsibilities

• Explain benefit programs and patient responsibilities; obtain forms and signatures.
• Screen patients for eligibility for healthcare benefits and grants; present options clearly.
• Verify existing coverage and identify gaps; explain insurance options to patients.
• Assist with program enrollment based on financial assessment results.
• Update patient benefit data in the EHR; ensure accuracy and compliance.
• Maintain knowledge of Medicare, Medicaid, Marketplace and private insurance rules.
• Assist with Medicaid applications and annual redetermination.
• Coordinate with providers and staff to support patient care in a team-based approach.
• Support patients navigating revenue cycle and provide warm hand-offs when needed.
• Uphold patient confidentiality and HIPAA standards.

Skills

Customer service

Bilingual (English/Spanish)

Office software

EPIC EHR

Communication

Education

High School diploma or GED

Tools

EPIC EHR

Microsoft Office

Job description

Access Community Health Network seeks a Patient Benefit Specialist to help patients understand insurance coverage, determine eligibility, and review available financial assistance options. The role focuses on maximizing ACCESS’ reimbursement while ensuring patients grasp their responsibilities and options.

You will conduct comprehensive benefit assessments and screenings, assist with program enrollment, update the electronic health record with accurate benefit data, and coordinate with providers