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Community Connections, Inc. · 2 months ago

Consumer Benefits Specialist

Washington, DC

Full-time

Onsite

Entry, Mid Level

$49K/yr - $59K/yr

2+ years exp

Community Connections, Inc. is focused on providing behavioral health, residential services, and primary health care coordination. The Consumer Benefits Specialist assists consumers in obtaining benefits like SSI and Medicaid by screening for eligibility and supporting them through the application and appeal processes.

Health CareHospitalityMedical

Responsibilities

Screen consumers for eligibility by completing the appropriate applications and/or financial assessment(s) for various relevant benefits including but not limited to Medicaid, Medicare, QMB (Qualified Medicare Beneficiary), SSI, Social Security

Contribute to the ongoing development of financial assessment and eligibility screening tools for various relevant benefits

Maintain necessary information and documentation for completion of the initial screening process

Use all available resources to collect information and supporting documentation necessary to complete eligibility screening as appropriate for consumers scheduled

Communicate with external agencies (e.g., Social Security Administration, DC Medicaid, DHS) to track applications and resolve eligibility issues

Accurately enter and maintain consumer benefits data in the agency’s electronic record system; generate reports as needed

Provide or obtain information to/from clinic and case coordination staff to facilitate completion of the screenings initiated

Generate and maintain reports related to benefits status, application outcomes, and pending verifications

Ensure all benefits-related documentation and communications comply with HIPAA, Medicaid, and organizational privacy standards

Serve as a resource and subject matter expert for staff and consumers regarding benefits eligibility, application processes, and policy changes

Participate in program planning, policy development, and interagency coordination of Medicaid and related eligibility programs as assigned

Models and reinforces Community Connections mission to provide behavioral health, residential services, and primary health care coordination for marginalized and disenfranchised women, men, youth, and children living in the District of Columbia, many of whom are coping with challenges including mental illness, addiction, and the aftermath of trauma and abuse

Models and reinforces Community Connections values of quality, innovation, respect, equity, and integrity daily

Reinforces Community Connection’s commitment to diversity, equity, and inclusion

Protects the privacy of our consumer’s protected health information by maintaining compliance with HIPAA and other relevant CC related IT security regulations

Completes and stays current on role specific and organizational wide training

Performs other duties as assigned on an as-needed basis

Qualification

Medicaid enrollmentConsumer screeningBehavioral health experienceFinancial intakeWindows-based environmentCommunity resourcesCommunication skillsNegotiation skills

Required

2 years working experience in behavioral health, supportive housing, or homelessness fields, financial intake, and knowledge of Medicaid enrollment

Must have working knowledge of computers in a Windows-based environment

Must have and maintain a background and criminal history free from any disqualifying offenses

Successful completion of all position-specific training within thirty (30) days of employment is required

Knowledge of the needs, problems, and community environments of persons with disabilities; of community and government service delivery systems; of case management systems; and of community welfare resources

Skill in the operation of computers and applicable computer software

Ability to negotiate services and to effectively communicate

Ability to display regular and reliable in-person attendance