Benefits Specialist

Benefits SpecialistAt Project HOME, every role contributes to our mission of empowering individuals to achieve stability, wellness, and self-determination. As a Benefits Specialist, you'll help patients overcome barriers to healthcare by connecting them with insurance coverage, financial assistance, medications, specialty care, and other essential resources.You'll work directly with patients to navigate Medicaid, Marketplace, Medicare, Project HOME's sliding fee program, and other benefits while helping ensure accurate coverage information and supporting the financial sustainability of our Federally Qualified Health Center (FQHC).If you enjoy helping people navigate complex systems, solving problems, and providing compassionate, hands-on support, we'd love to hear from you.Location: Stephen Klein Wellness Center, 2144 Cecil B. Moore Avenue, Philadelphia, PA 19121Schedule: Monday-Friday | 9:00 AM-5:00 PM | Fully onsiteCompensation: $23.00/hourHelp Patients Access Benefits & CoverageHelp patients understand and access Medicaid, Marketplace, Medicare, supplemental Medicare, and other available health coverage.Screen uninsured patients for coverage options and assist with completing and submitting applications, including through Pennsylvania COMPASS.Manage Project HOME sliding fee applications, ensuring information is accurately entered in eClinicalWorks (eCW) and updated as required.Explain sliding fee eligibility and requirements to patients in a clear and supportive way.Review electronic eligibility reports and resolve coverage or eligibility issues, including same-day patient updates.Support Access to HealthcareHelp patients access specialty care by supporting referrals, prior authorizations, Benefit Limit Exceptions, scheduling, and related documentation.Maintain accurate Medicaid application and patient records within the practice management system.Support patient outreach, scheduling, and Wellness Center recruitment efforts.Maintain and update the SKWC Resource Guide and community partnerships that support patient access.Provide Patient-Centered SupportProvide compassionate, professional one-on-one support to patients navigating complex benefits and coverage issues.Support individuals who may be experiencing homelessness, trauma, behavioral health needs, substance use, or other barriers to care.Manage a patient-facing workload that may include approximately four to six one-hour patient sessions per day.Provide Patient Services Representative and Medical/Dental Reception coverage during breaks, absences, and other operational needs.What You'll NeedBachelor's degree or relevant experience in an FQHC, health center, benefits navigation, or similar setting.Knowledge of Medicaid insurance applications through the Pennsylvania COMPASS system.Experience navigating benefits, insurance, healthcare, government assistance, or similar systems.Strong oral and written communication, interpersonal, and customer service skills.Strong attention to detail, accuracy, critical thinking, and problem-solving skills.Ability to analyze information, manage competing priorities, work under pressure, and adapt to changing needs.Comfort using electronic systems, spreadsheets, and documentation tools accurately and consistently.Ability to work effectively and compassionately with individuals experiencing barriers to healthcare.What You May BringExperience with eClinicalWorks (eCW), Epic, or another EHR/EMR system.Experience with Medicaid, Medicare, Marketplace coverage, insurance eligibility, or public benefits.Previous experience in an FQHC, healthcare, social services, case management, or residential services environment.Experience with trauma-informed care, motivational interviewing, crisis de-escalation, or conflict management.Experience supporting individuals experiencing homelessness, behavioral health needs, substance use, or other complex barriers.Ability to speak a language other than English.What We OfferProject HOME is committed to supporting the well-being of our employees through a comprehensive benefits package.Eligible employees enjoy:Competitive compensationMedical, dental, and vision insurance with low employee costsCompany-paid life and disability insurancePaid parental leaveFlexible Spending Accounts401(k) with employer matchingGenerous Paid Time Off, including paid sabbatical leaveEmployee wellness programsProfessional development and career growth opportunitiesWho We AreProject HOME is a nationally recognized nonprofit dedicated to ending homelessness and poverty through integrated housing, healthcare, education, employment, and supportive services.Equal Opportunity EmployerProject HOME is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where everyone is treated with dignity and respect. Employment decisions are made without regard to race, color, religion, age, sex, sexual orientation, gender identity or expression, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law.Project HOME conducts background checks, reference checks, and drug screenings on all final candidates as a condition of employment.