Health Benefits Advisor

1 week ago

San Bernardino, California, United States St Johns Community Health Full time
Health Benefits Advisor

Company: St Johns Community Health

Job Overview:

POSITION SUMMARY

As a Health Benefits Advisor, your primary responsibility will be to assist senior citizens, disabled Medicare recipients, and their families, partners, and caregivers in navigating health insurance options and benefits. You will play a crucial role in managing and guiding patient enrollment in various local, state, and county health programs.

Benefits Offered:

  • Comprehensive Medical, Dental & Vision Coverage
  • Generous Paid Holidays and 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 Professional 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
  • Familiarity with Practice Management Systems (PMS) is required

Licensure/Certification:

  • Employees must maintain their individual certifications as mandated by job responsibilities or legal requirements and provide verification and recertification upon request.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Assist clients in completing applications and forms for private insurance and Medi-Cal, as well as other relevant County or State health programs.
  • Participate in training sessions for updates on Medi-Cal and other relevant topics as directed by management.
  • Attend necessary meetings for updates and directives from supervisors.
  • Complete production reports, Medi-Cal reports, communication logs, PCP changes, and other required documentation.
  • Coordinate efficiently with all state and county health programs.
  • Foster a positive and professional atmosphere—both in-person and over the phone—with clients, colleagues, and external stakeholders.
  • Demonstrate a comprehensive understanding of St Johns Community Health policies and procedures.
  • Draft professional written communications as needed.
  • Educate clients about 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 (or as required) to ensure continued coverage.
  • Handle inquiries from clients who do not qualify with compassion and understanding.
  • Stay informed about changes in health programs as necessary.
  • Conduct registration, scheduling, and billing within the Practice Management System (PMS).
  • Process applications and verify eligibility during patient visits.
  • Collaborate with healthcare providers to identify and qualify patients for financial assistance programs.
  • Perform additional duties as assigned.

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