Client Benefit Specialist

Description Greater Nashua Mental Health is looking for a full-time Client Benefit Specialist to join our Access team! The Client Benefit Specialist is responsible for overall assessment and monitoring of client financial responsibility for all services received by GNMH and assists both clients and GNMH providers in determining optimal medical financial assistance eligibility and facilitates relevant application process. Liaises with assigned clinical team members to review client accounts and coverage status on regular basis and assists clinicians with the opening of Medicaid Spenddown accounts. Works in collaboration with the Revenue Cycle Department to work with clinicians on their assigned team to ensure proper credentialing and to correct system and coding errors that interfere with billing process.

Duties & Responsibilities

Counsels and assesses eligibility uninsured clients for State and Federal medical financial assistance programs, such as disability determination, Medicaid eligibility, and benefits determinations

Assists clients through the eligibility determination process and completion of necessary documentation whenever case managers are either unassigned or unable to do so

Calculates cost of new or revised treatment plans, and reviews with clients their responsibility after all expected insurance and benefits are applied, and obtains client acknowledgement of GNMH financial policy

Assesses clients for potential charity care based on GNMH charity care policies, and completes all required documentation

Maintains positive working relationships with GNMH Clinical, Billing, and Client Access staff to ensure client financial information is accurate and up-to-date within the EMR system and addresses the client's financial needs while securing funding

Attends clinical team meetings and works with clinicians and case managers to limit lapses in client insurance coverages and ensure services received are ordered and covered

Completes, monitors, and ensures assigned clinical staff holds all necessary credentials

Reviews processing error reports and works with clinical staff to obtain quick resolution

Maintains knowledge of state and federal programs, and conducts or attends financial counseling training for GNMH staff relative to available programs and GNMH policy and procedures

Answers phones and/or covers front-desk staff during times of excessive volume or staffing shortages

Performs other duties or special projects as required or as assigned

Requirements Qualifications

High School Diploma or GED equivalent required

Knowledgeable of current Local and State agencies and their available benefit programs

Knowledge of Microsoft Office products (Email, Word, EXCEL)

Projects a friendly, positive, and professional attitude both in person and on the phone

Ability to effectively deal with all levels of customers in a professional manner, utilizing strong customer service, interpersonal and listening skills

Understands and respects the needs of the clients served at GNMH and is able to meet with them to determine their specific areas of need in a comfortable and objective manner

Financial acumen related to personal finance and budgeting

Strong collaborating skills, and an ability to work effectively both independently and as part of a team

Effective oral/written communication skills necessary to clarify benefit details, requirements, and processes

Comfortable in a fast-paced environment with frequent deadlines; high energy, self-motivated and proactive

Ability to multitask, and be flexible with regard to workload and assignments

Ability to exercise judgment

Why Join Us We are looking for collaborative, curious for knowledge people with a “can do” mentality to join our team of compassionate employees! We provide a stimulating work environment and offer competitive salaries and comprehensive benefits including:

Choice of 2 health insurance plans

Health Reimbursement Arrangement

Health Plan Opt Out Benefit

Health Savings Account

Flexible Spending Account

Dental Insurance

Vision Insurance

Group Life and AD&D Insurance

Short and Long Term Disability

Accident & Critical Illness Insurances

403b Retirement Plan with Agency Match

Employee Assistance Plan

Generous Earned Time Off

Paid Extended Sick Time

10 Paid Holidays + your birthday!

Bereavement Leave

Tuition Reimbursement

Qualifying Employer for the Public Service Loan Forgiveness Program and NH State Loan Repayment Program

Greater Nashua Mental Health is an Equal Opportunity Employer.

Salary Description $17.47 - $26.20 per hour

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