Health Benefits Advisor
1 week ago
Company: St Johns Community Health
Job Overview:
POSITION SUMMARY
As a Health Benefits Assistance Coordinator, your primary responsibility will be to offer guidance and support to senior citizens, disabled Medicare recipients, and their families, partners, and caregivers concerning health insurance options and benefits. You will play a vital role in facilitating and managing patient enrollment in various local, state, and county health programs.
Benefits Offered:
- Comprehensive Medical, Dental & Vision Coverage
- 13 Paid Holidays plus Paid Time Off
- 403 (B) Retirement Plan with Matching Contributions
- Life Insurance and Employee Assistance Program
- Tuition Reimbursement Opportunities
- Membership in SEIU Union
- Flexible Spending Accounts
- Ongoing Workforce Development and Training
- Career Advancement and Succession Planning
QUALIFICATIONS
Education and Experience:
- Certified Application Assistant (CAA) Certification
- Bilingual in English and Spanish (Required)
- Knowledge of Medi-Cal and Covered California
- Preferred two years of experience as a CAA
- Experience with Electronic Health Records (EHR) is required
- Proficiency in Practice Management Systems (PMS) is required
Licensure/Certification:
- Employees must maintain necessary certifications as mandated by job responsibilities or legal requirements and provide verification and recertification upon request.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Assist patients in completing applications and necessary forms for private insurance and Medi-Cal, along with other County or State health insurance programs.
- Participate in training sessions for updates on Medi-Cal and other relevant training as directed by management.
- Attend required meetings for updates and directives from management.
- Complete production reports, Medi-Cal reports, communication sheets, and other necessary documentation.
- Coordinate efficiently with all state and county programs.
- Foster a positive and professional environment in all interactions, whether in-person or via phone, with patients, colleagues, and external partners.
- Demonstrate a comprehensive understanding of organizational policies and procedures.
- Draft professional written communications as needed.
- Educate patients on the health insurance enrollment process and available programs.
- Input prescriptions and patient information into the Electronic Health Record (EHR).
- Manage Medi-Cal and other renewals annually to ensure continued coverage.
- Provide compassionate assistance to patients who do not qualify for certain programs.
- Stay informed about changes in health programs as necessary.
- Handle Practice Management System (PMS) tasks including registration, scheduling, and billing.
- Process applications and verify eligibility during patient visits.
- Collaborate with clinicians to identify and qualify patients for financial assistance programs.
- Perform additional duties as assigned.
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