Crossroads Health Ohio · 19 hours ago
Benefits Specialist
Crossroads Health is a non-profit organization serving Northeast Ohio communities with comprehensive healthcare services. They are seeking a Benefits Specialist to facilitate linkage and follow-up between clients and various organizations that provide benefits, while assisting clients with their eligibility and benefits applications.
Health CareHospitalMental HealthNon ProfitPrimary and Urgent CareWellness
Responsibilities
Provides clients with information and assistance regarding eligibility with commercial insurance, Medicaid, Marketplace, CHIP and self-pay
Determines the eligibility status and submitting for Presumptive Medicaid if eligible
Verifying family size & income & updating if needed
Completing Lake County ADAMHS enrollment form & entering information into the GOSH system
Applying sliding fee when appropriate
Resolving denials related to patient’s/client’s benefits/eligibility and contacting patient as needed for further information
Be able to review and discuss open patient/client balances and collect payments or set up payment plans to assist patients in paying their bills
Qualification
Required
High School diploma required
Demonstrated expertise in eligibility and enrollment rules and procedures, training in the Marketplace
Proficiency in multi-tasking and working on competing priorities
Preferred
Bachelor's
Two years of Billing/Insurance experience
Experience in healthcare, nonprofit, behavior health