The Benefit Specialist ensures patients can access necessary healthcare by reviewing demographic, income, and residency information to determine program eligibility. This position requires a high level of patient advocacy, education on available financial assistance, and seamless integration of enrollment data into electronic health records (EHR).
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Responsibilities:
Eligibility & Enrollment: Proactively conduct eligibility assessments and assist patients in completing applications for programs, Medicaid, CHIP, and the Federal Marketplace.
Verification: Timely review and verify patient income, residency, and insurance coverage to validate program eligibility.
Patient Advocacy: Educate patients on their rights and benefits while providing unbiased guidance through the enrollment process.
Collaboration: Work with medical staff, internal departments, and stakeholders to gather documentation and ensure accurate data entry into the EHR system.
Compliance: Adhere to all regulations and prepare accurate reports regarding enrollment activities and program compliance.
Professional Development: Maintain certifications (such as federal consumer assistance certification) and participate in training regarding Texas benefits and marketplace modifications.
Working hours: 8:00 AM - 5:00 PM
Skills:
Experience: 1+ years in a healthcare field with an emphasis on health insurance or healthcare coverage programs.
Technical: Proficiency with healthcare electronic clinical systems (EHR) and scheduling software.
Logistics: Reliable transportation and automobile insurance.
Education:
High School
Experience:
0-1 years
Qualifications:
Language: Bilingual skills in English and Spanish.
Education: High school diploma or GED certificate.
Experience: Minimum of 6 months of healthcare or related experience.
Technical: Basic computational and computer skills, including typing and familiarity with Microsoft Office.
Compliance: Must possess a valid state Driver???s License.
Interpersonal: Ability to communicate compassionately and professionally with diverse patient populations.
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Spherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temp-to-perm or direct hire opportunities, no one works harder for you than Spherion.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Spherion, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact Callcenter@spherion.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Spherion offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).