Bilingual Patient Benefits Specialist

About the position

The Patient Benefit Specialist is responsible for working directly with patients to ensure a clear understanding of insurance coverage, financial responsibilities, and available payment options. This includes conducting benefit orientation and explaining financial requirements, performing financial assessment interviews and screening for coverage/eligibility, verifying third-party and other healthcare coverage, assisting with program enrollment based on assessment results, entering and maintaining accurate benefit information in EHR, supporting patients with Medicaid applications and redetermination, and guiding patients through the revenue cycle process and support services.

Responsibilities

• Conduct benefit orientation and explain financial requirements
• Perform financial assessment interviews and screen for coverage/eligibility
• Verify third-party and other healthcare coverage
• Assist with program enrollment based on assessment results
• Enter and maintain accurate benefit information in EHR
• Support patients with Medicaid applications and redetermination
• Guide patients through the revenue cycle process and support services

Requirements

• High school diploma or GED
• Minimum of two (2) years of customer service experience
• Prior experience with All Kids and Moms & Babies (MPE) programs
• Knowledge of Medicare, Medicaid, Marketplace insurance, and HMO regulations
• Knowledge of Electronic Health Records (EHR), especially EPIC
• Intermediate proficiency in Microsoft Office products (e.g., Word, Excel, Outlook)
• Ability to communicate clearly and effectively with diverse patient populations
• Strong organizational and multitasking skills are essential
• Bilingual in English and Spanish

Benefits

• Tuition reimbursement and scholarship program
• Comprehensive healthcare coverage including Medical, Dental, and Vision
• Generous PTO after introduction period
• 403(B) retirement plan and financial resources to help you save and plan for your retirement
• Life Insurance
• Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace