This position is not eligible for remote work.

 Job purpose Serves as a vital link between patients and the financial resources they need to access care. Guide individuals through the Medicaid and public benefits enrollment process, ensuring they understand their coverage options and receive the support necessary to begin or continue treatment.

Supports the IM/Billing department in job duties necessary to meet organizational financial health needs.

 Duties and responsibilities  Patient Engagement & Education

• Act as the primary point of contact for patients seeking information about insurance benefits, financial assistance, and billing inquiries.
• Provide personalized education on insurance coverage, including deductibles, copayments, co-insurance, and out-of-pocket costs, with a specialized focus on behavioral health services.
• Communicate financial information in a clear, empathetic, and culturally sensitive manner to support patient understanding and decision-making.

Eligibility & Enrollment Support

• Conduct thorough eligibility screenings for Medicaid and other public assistance programs.
• Assist patients in completing applications, gathering required documentation, and navigating enrollment processes.
• Monitor application status, proactively follow up on missing or incomplete information, and resolve discrepancies to ensure timely and successful enrollment.

Data Management & Compliance

• Accurately collect, verify, and enter patient demographic, insurance, and financial data into electronic health records (EHR) and enrollment systems.
• Maintain organized and up-to-date records in compliance with HIPAA and all applicable confidentiality regulations.
• Prepare and deliver patient statements, ensuring accuracy and clarity in billing communications.

Interdepartmental Collaboration

• Work closely with clinical, administrative, and billing teams to ensure seamless access to care and continuity of services.
• Support coordination of care by facilitating timely financial clearance and resolving insurance-related barriers.
• Assist the Billing Department as needed
• Job duties may be increased, decreased, or combined as the needs of the agency dictate

 Qualifications

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, social work, or related field preferred

• Minimum 1–2 years of experience with Medicaid enrollment, Medicare, commercial/private programs

• Experience in a behavioral health or healthcare setting strongly preferred
• Strong interpersonal and communication skills with a trauma-informed, patient- centered approach
• Proficiency in EHR and Microsoft Office Suite
• Knowledge of insurance terminology and healthcare benefits
• Ability to manage multiple tasks with attention to detail and accuracy
• Detail-oriented with strong organizational abilities

 Competencies  Patient Communication & Education

• Ability to explain complex financial and insurance concepts clearly and empathetically.
• Cultural sensitivity and trauma-informed communication.
• Strong interpersonal skills to build trust and rapport with patients.

Medicaid & Public Benefits Expertise

• Knowledge of Medicaid, Medicare, and commercial/private insurance programs.
• Experience conducting eligibility screenings and assisting with enrollment processes.
• Ability to troubleshoot application issues and follow up proactively.

Data Accuracy & Compliance

• Attention to detail in collecting and verifying patient data.
• Deep understanding of HIPAA and 42 CFR Part 2 confidentiality regulations.
• Competence in managing EHR and billing systems.

Collaboration & Teamwork

• Ability to work effectively across departments (clinical, billing, administrative).
• Skill in coordinating financial clearance to support continuity of care.
• Problem-solving to resolve insurance-related barriers.

Technical Proficiency

• Proficiency in EHR systems and Microsoft Office Suite.
• Ability to manage digital documentation and patient records efficiently.

Behavioral Health Awareness

• Understanding of behavioral health services and related financial considerations.
• Experience in behavioral health settings is preferred.