Crossroads Health Ohio · 1 week ago
Benefits Specialist
Crossroads Health is a non-profit organization serving Northeast Ohio communities with integrated healthcare services. The Benefits Specialist will assist clients in navigating their benefits and entitlements, ensuring they receive the necessary support for their healthcare needs.
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
Preferred
Bachelor's
Two years of Billing/Insurance experience
Experience in healthcare, nonprofit, behavior health
Demonstrated expertise in eligibility and enrollment rules and procedures, training in the Marketplace
Proficiency in multi-tasking and working on competing priorities