What are the responsibilities and job description for the Client Benefit Specialist position at Unison Health?
Client Benefit Specialist
Are you passionate about healthcare and helping others navigate complex benefits systems? Do you have a knack for problem-solving and a commitment to delivering exceptional customer service? Join our team as a Client Benefit Specialist and make a meaningful impact on clients’ access to necessary services!
About the Role: As a Client Benefit Specialist, you will play a vital role in supporting clients with their healthcare benefits, managing prior authorization applications, and assisting with claims denials. You’ll work directly with clients and healthcare professionals to ensure they receive the services they need while guiding them through complex processes. If you enjoy working independently, making a difference, and being part of a dynamic team, this is the perfect opportunity for you!
Key Responsibilities:
- Prior Authorization Management: Oversee the application and renewal process for services requiring prior authorization. This includes gathering clinical data, working with clinicians to submit timely documentation, and logging approval/denial information into our system.
- Client Assistance: Support clients with Entitlement and Board Funding applications, answer questions about coverage, and help with Medicaid redetermination for meds-only clients.
- Claims Denial Resolution: Monitor and address payer-denied claims related to prior authorization. Work to identify systemic issues and collaborate with the Information Services team for resolution.
- Collaboration and Coordination: Ensure seamless communication with clients, clinicians, and internal departments, while managing a variety of administrative tasks.
What We’re Looking For:
- Education: High school diploma or equivalent required. An associate degree in a related field is a plus.
- Experience: At least one year of experience in medical billing, registration, or working with insurance/benefits.
- Skills & Abilities:
- Proficient in using computer systems, internet navigation, and billing software like Excel and Electronic Health Records (EHR).
- Strong customer service skills with the ability to manage tasks independently and prioritize effectively.
- Comfortable working under pressure with frequent interruptions while maintaining attention to detail.
- Ability to maintain confidentiality, especially when handling sensitive client information.
- Compassionate and empathetic when working with clients who may be ill, disabled, or in distress.
Additional Information:
- No prior certification is required, but CPI certification must be obtained after hire.
- Must be comfortable with sedentary work and occasional travel between agency sites.
Why Join Us?
- Impactful Work: Play a key role in ensuring that clients have access to the care and services they need.
- Supportive Environment: Work alongside a dedicated team of professionals who are passionate about making a difference.
- Benefits Include: Eight paid holidays. Medical, dental and vision insurance. Short and long-term disability plans and life insurance. 403b retirement plan that includes a base and match. On-site education and training, Tuition reimbursement. Generous PTO starting day one. HSA with employer contribution.
How to Apply: If you’re ready to help clients navigate their healthcare benefits and make a real difference in their lives, we want to hear from you! Apply today and join a team where your expertise will be valued, and your impact will be felt.
EOE
