Patient Outreach Specialist

University Of Nebraska Medical Center; Omaha (NE); On-site; USD 45,000 - 65,000; Full time

Job summary

University of Nebraska Medical Center seeks a Benefits Specialist to manage end-to-end eligibility and enrollment for Ryan White programs. You will educate and assist patients with state, federal and private insurance options while ensuring ongoing eligibility and HRSA/HAB compliance.

This role supports patients with HIV to access core medical and support services. Initial review of applications occurs on a scheduled date; timely processing and accurate documentation are essential.

Qualifications

• Associate's degree or equivalent required.
• 3 years of relevant experience in social services, public health, or related field.
• Strong understanding of state/federal benefits (Medicare, Medicaid, ACA) and private insurance.

Responsibilities

• Administer eligibility and enrollment for Ryan White program clients end-to-end.
• Adjudicate applications and educate patients on insurance options.
• Ensure Ryan White program remains payor of last resort and compliant with HRSA/HAB guidelines.
• Coordinate with clinical staff, patients, and external programs to facilitate access to services.

Skills

Interpersonal skills

Verbal communication

Written communication

Cultural competence

Analytical/problem solving

Organizational skills

HIPAA confidentiality

Team collaboration

Education

Associate's degree or equivalent

Tools

EPIC

Microsoft Excel

Microsoft Word

Microsoft Access

Microsoft PowerPoint

Microsoft Outlook

Job description

UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.

Location

Location Omaha, NE

Requisition Number:

Requisition Number: Staff_14993

Department

Department Int Med Infectious Diseases 50000589

Business Unit

Business Unit College of Medicine

Reg-Temp

Reg-Temp Full-Time Regular

Work Schedule

Work Schedule Weekdays and weekends; Hours may vary

Remote/Telecommuting

Remote/Telecommuting No remote/telecommuting opportunity

Position Summary

The Benefits Specialist is responsible for the end-to-end administration of client eligibility and enrollment for the University of Nebraska Medical Center ( UNMC ) Ryan White programs. This role serves as a critical link to ensuring that individuals with HIV receive continuous access to core medical and support services while maintaining compliance with HRSA / HAB federal guidelines. Key duties include conducting comprehensive eligibility assessments, adjudicating applications, The Benefits Specialist also acts as an advocate, educating, assessing and assisting patients with identifying state, federal and private insurance options and ensuring the Ryan White program remains a payor of last resort.

Initial application review will begin on the date provided in the field above. Applications received prior to this review date will be considered. Applications received after the review date may be considered.

Required and Preferred Qualifications

Required Education:

Required Education: Associate's degree or equivalent

If any degree major/training is required, please specify the type. (NOTE: Concentration and minors are not equivalent to a major)

NA
(Will consider five years education/related experience)

Required Experience

Required Experience 3 years

If any experience is required, please specify what kind of experience:

Experience related to social services, human services, public health to include a strong understanding of state and federal benefits (i.e. Medicare, Medicaid, Affordable Care Act, and private insurance)..
(Will consider five years education/related experience)

Required License

Required License No

If yes, what is the required licensure/certification?

Required Computer Applications:

Required Computer Applications: Not Applicable

Required Other Computer Applications:

Required Additional Knowledge, Skills and Abilities:

1. Excellent interpersonal skills.
Communication Skills: Strong verbal and written skills. This position will be communicating with clinical personnel, patients, internal staff and external entities including but not limited to local, state and federal government programs, insurance companies, and community resource entities
2. Cultural Competence: Ability to work with and build trust with diverse, vulnerable populations affected by HIV .
3. Results Driven Professional: Evidence of self-motivation, creativity, and flexibility in meeting objectives.
4. Analytical Skills: Analytical Skills: Ability to collect, organize and analyze situations and information to identify gaps, or barriers, search out pertinent facts, identify and assist with logical, actionable solutions.
5. Computer proficient.
6. Organizational Skills: Proficient in managing complex projects, prioritizing multiple tasks, attention to detail and accuracy to enhance outcomes
7. Ability to work effectively with department coworkers, research subjects and external customers.
8. Confidentiality: Strict adherence to HIPAA and confidentiality standards

Preferred Education:

If any degree/training is preferred, please specify the type:

Social Work, Human Services, Public Health.

Preferred Experience:

Preferred License:

Preferred License: No

If yes, what is the preferred licensure/certification?:

Preferred Computer Applications:

Preferred Computer Applications: Microsoft Access, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook

Preferred Other Computer Applications:

Preferred Other Computer Applications: EPIC

Preferred Additional Knowledge, Skills and Abilities:

Required fields are indicated with an asterisk (*).

• * Do you have a high school education or equivalent?
  • Yes
  • No
• * Do you have experience related to social services, human services, public health to include a strong understanding of state and federal benefits (i.e. Medicare, Medicaid, Affordable Care Act, and private insurance) ?
  • Yes
  • No
• * If you do have experience related to social services, human services, public health to include a strong understanding of state and federal benefits (i.e. Medicare, Medicaid, Affordable Care Act, and private insurance), please elaborate (If No, indicate NA).

  (Open Ended Question)

• * How did you hear about this position?
  • Careerlink
  • Employee Referral
  • HERC
  • Indeed
  • Job Fair
  • Lincoln Journal Star
  • Linkedin
  • Omaha World Herald
  • UNMC Job Site
  • Facebook
  • NEWorks
  • Handshake
  • Other
• * If Other, please specify the source. Otherwise, indicate NA.

  (Open Ended Question)

• * Within the past 6 months, have you been affected by a reduction in force or grant funding expiration with the University of Nebraska Medical Center?
  • Yes
  • No

Individuals who need accommodation during the online application or interview process may contact 402-559-4070 or [e-mail] to request an accommodation.