Healthcare Benefits Specialist

3 days ago


Orangeburg, South Carolina, United States HopeHealth Inc Full time

HopeHealth Inc is seeking a skilled Healthcare Benefits Specialist to join our team. In this role, you will serve as a financial advocate for patients, assisting them with benefits to cover medical care, prescription drugs, and more.

About the Role

This is a critical position that requires strong active listening skills, attention to detail, and decision-making skills. The ideal candidate will be able to work in a high-pressure environment and maintain a pleasant, friendly attitude even in challenging situations.

The Patient Benefits Counselor will meet with new patients on their first visit to HopeHealth, screen them for benefits using the Annual Registration Form, and review, input, and scan new patient paperwork. They will also input critical information into the practice management system, including demographics, payer information, patient responsibility, and additional reporting data.

Key Responsibilities
  • Meet with new patients on their first visit to HopeHealth
  • Screen new patients for benefits using the Annual Registration Form
  • Responsible for reviewing, inputting, and scanning new patient paperwork
  • Input critical information into the practice management system
  • Determine eligibility for Medicaid, Affordable Care Act (ACA), Sliding Fee Discount Program (SFDP), and WellVista
  • Assist qualified patients with documents for Medicaid, Sliding Fee Scale Discount program, Affordable Care Act, and WellVista applications
  • Verify insured patients' eligibility and benefits, explaining them clearly to the patient
  • Navigate uninsured patients through Affordable Care Act insurances during open enrollment if they don't qualify for Medicaid
  • Enter patient payer information into Pharmacy Benefit Manager (PBM) timely
  • Update the PMS and PBM as the patient progresses through the benefit process
About HopeHealth Inc

Hophealth Inc is a leading provider of healthcare services, committed to delivering high-quality care to our patients. Our team is dedicated to creating a supportive and inclusive environment where patients feel valued and respected.

What We Offer
  • A competitive salary range of $45,000 - $55,000 per year
  • A comprehensive benefits package, including medical, dental, and vision coverage
  • A 401(k) retirement plan with employer match
  • Opportunities for professional growth and development


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