Child Health Benefits Coordinator

The Child Health Benefits Coordinator oversees day-to-day delivery of services that identify and assist referred health plan members with securing Children’s Special Health Care Services (CSHCS) coverage and, when appropriate, Social Security Disability (SSD) or Supplemental Security Income (SSI) benefits. This role coordinates gathering required documents and authorizations, member and provider outreach, application support, case monitoring, approvals, closures, and reporting while ensuring secure handling of protected health information and consistent service to health plan clients.

KEY RESPONSIBILITIES

• Case Coordination: Manage assigned eligibility cases from referral through initial determination, maintaining accurate and timely case documentation.
• Member & Provider Support: Communicate with members, families, providers, and agency contacts to gather information, coordinate required documentation, and support the application process. Able to conduct visits in person as applicable.
• Application & Benefit Assistance: Prepare, submit, and monitor healthcare eligibility applications and assist with related disability-benefit forms when applicable.
• Reporting & Client Service: Provide case updates, approval or closure information, periodic reporting, and documentation needed to support client service and billing.
• Compliance & Quality: Protect confidential information, follow established procedures, and ensure work is accurate, complete, and compliant with HIPAA requirements.

QUALIFICATIONS & REQUIREMENTS

• Education and Experience: High school diploma or GED, 3–5 years in healthcare eligibility, Medicaid enrollment, or case management. Specific experience in specialty care for children is preferred.
• Program Knowledge: Working knowledge of Medicaid eligibility, CSHCS processes. Familiarity with local health departments and MDHHS procedures is strongly preferred.
• Communication & Empathy: Exceptional interpersonal and verbal communication skills to support vulnerable members navigating complex healthcare transitions. Strong written and verbal communication, sound judgment, and demonstrated ability to communicate effectively with members, providers, government agencies, and internal partners.

COMPENSATION & BENEFITS

Competitive base salary

Comprehensive health, dental, and vision benefit options

Paid Time Off (PTO) package and paid company holidays

Pay: From $22.00 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance

Application Question(s):

• - This role will be interacting with heads of household with chronically ill child and with pediatric specialist office staff, are you professional and empathetic?

Experience:

• working in pediatric or specialist office: 1 year (Preferred)

Language:

• any foreign language if so which one (Preferred)

Work Location: Hybrid remote in Troy, MI 48083

Salary : $22