Patient Benefit Qual Cntr Spec

Job Description

Department

Patient Registration

Job Summary

Responsible for overseeing the Patient Assistance phone lines and email, managing requests from SMHCS clinical departments. Conducts regular reviews of staff accounts and performs random audits to maintain departmental quality metrics. This role not only fulfills the standard duties of the Patient Benefits Coordinator/Specialist but also supports management in ensuring account accuracy, quality control, and technical operations. Acts as a key resource for financial assistance needs across SMHCS.

Required Qualifications

• Require an associate degree or relevant experience can substitute in lieu of the degree on a year-for-year basis with a High School Diploma, GED, or Certificate.
• Require eight (8) years of experience in the insurance industry (private or government sponsored).
• Require Certified Health Access Association (CHAA) certification upon hire. - Require Association of Community Cancer Centers (ACCC) Boot Camp Certification within one (1) year of employment/transfer.
  
  

Preferred Qualifications

• Prefer previous experience with filing Public Assistance Applications (i.e. Medicaid) and /or with Department of Children and Families (DCF), as well as, interviewing and/or collections experience.
• Prefer an understanding of current regulatory guidelines.
• Prefer demonstrated knowledge of medical terminology.
• Prefer demonstrated ability to make independent decisions and handle multiple tasks simultaneously.
• Prefer demonstrated communication skills and ability to handle difficult situations.
• Prefer superior organizational skills and attention to detail.
• Prefer demonstrated ability to cultivate partnerships and positive relationships with other providers and community participants.
  
  

Mandatory Education

Preferred Education

Required License and Certs