Benefits and Eligibilty Representative

Job Description

Job Title: Benefits & Eligibility Representative

Location: Saint Louis, MO

Department: Connection Services

Employment Type: Full-time

Job Summary

Join our dedicated team as a Benefits & Eligibility Representative and become part of a mission-driven organization that's committed to helping others. If you're someone who enjoys digging into details, solving problems, and working closely with clients to make their lives easier, this role is for you. You'll be part of a compassionate and collaborative team that values integrity, service, and communication. This is more than just a job-it's an opportunity to truly make a difference in people's lives while developing valuable skills in insurance benefits and client advocacy.

As a Benefits & Eligibility Representative, you'll verify insurance and guarantor information, manage pre-authorization processes, and support clients in securing critical funding like Medicaid. You'll be the go-to person for helping clients understand their financial coverage, and you'll collaborate with multiple departments to ensure smooth operations and accurate records. Your attention to detail and excellent communication will make a real impact on the quality of care and support our clients receive.

This position offers…

• Employee Assistance Program - 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
• Mileage Reimbursement - Company paid for work functions requiring travel
• Employee Discounts - Hotels, Theme Parks & Attractions, College Tuition
• Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce
• Additional Perks & Benefits - Scroll down to bottom of this post to learn more
  
  

Key Responsibilities

• Verify and maintain accurate insurance and guarantor information within the Electronic Health Record system
• Communicate benefit information clearly and professionally to clients
• Assist clients in identifying and obtaining available funding sources, including Medicaid
• Collaborate across departments to answer eligibility, benefit, or cost-sharing questions
• Stay informed about changing funding options and insurance requirements
• Ensure compliance with HIPAA in all work-related activities
• Follow all departmental policies and procedures
• Contribute to department goals by supporting performance and efficiency initiatives
• Participate in team huddles and share feedback as needed
• Submit timecards accurately and report any corrections promptly
• Support safety procedures by completing training and reporting concerns
• Assist with department projects by meeting deadlines and reporting updates
  
  

Education, Experience, And/or Credential Qualifications

• High school diploma or GED required
• Prior experience with insurance verification preferred
• Familiarity with Microsoft Office and Excel preferred
  
  

Additional Qualifications

• Must possess a valid driver's license, acceptable driving record, and current auto insurance
• Must successfully complete a background check including criminal record, driving record, abuse/neglect, and fingerprint check
  
  

Physical Requirements

ADA Consideration - Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently to lift, carry, push, or pull objects. Repetitive movements of hands, fingers, and arms for typing and/or writing during the work shift.

Sedentary work involves sitting most of the time but may involve walking or standing for brief periods.

Position Perks & Benefits

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli is on a Mission

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Places for People is a Smoke and Tobacco Free Workplace.