Benefits Specialist

Job Description

Job Description

Description:

WHO WE ARE…

Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use disorders. NMH extends its trauma informed evidence-based services to children, adolescents, families, and adults. Our services vary from outreach, specialized program, mental health, school-based therapy, substance use therapy, community-based therapy, and outpatient clinic.

For more information visit our website:

WHO WE ARE LOOKING FOR…

Mission- Aligned: You are excited to be a part of Newport Mental Health’s mission to improve the lives of our clients living and working in Newport County by providing the highest quality of care.

Ally: You intentionally foster belonging, personal growth, and empowerment for all. You are a strong advocate for the BIPOC, LQBTQIA+, Woman, Veteran, and other underrepresented communities.

Solution Orientated: You are driven to think of different approaches to narrow the gap which leads to positive and effective changes.

Time Management: You are a conscious planner and a thoughtful decision maker who adheres to deadlines.

WHAT WE OFFER…

• Excellent Health and Dental Insurance.
• Vacation, Sick and Personal time accrued biweekly.
• Up to 11 Paid Holidays.
• Retirement program through Mutual of America.
• Additional supplemental insurance programs.
• Tuition reimbursement.
• Mileage reimbursement.
• Employer paid life insurance.
• Flexible spending account (FSA) and dependent care (DCA) spending accounts.

WHAT YOU WILL BE DOING (ESSENTIAL DUTIES) …

This position will ensure that individuals who may be eligible for state, federal and local benefits are supported in the process of accessing and making application for benefits. This includes registration, insurance eligibility and enrollment/re-enrollment and access to community-based behavioral health treatment for clients. Support completion and review each application to confirm that the financial statements and other personal information are accurate. Interview the applicants and family members when necessary, and document all your findings that lead to approval or denial of the Medicaid application.

Main Duties and Responsibilities:

• Prepare and submit Medicaid application, respond to any requests for additional information, prepare appeals for SSI/SSDI denials, and provide advocacy throughout the process.
• Knowledge of the RI Medicaid Health Care Portal.
• Knowledge of different Medicaid products such as QMB and SLMB.
• Reviewing Monthly Medicaid report to ensure active Medicaid for Clients.
• Assist with SNAP applications.
• Screen and assist with all steps of the Medicaid and Charity Care enrollment process.
• Ensure timely submission of Medicaid or Charity application based off program guidelines.
• Gather, verify, evaluate, and enter necessary social, financial, and medical information into various applications.
• Meet (on the phone or in person) with program participants on a monthly basis or more frequently if needed.
• Outreach to individuals to determine Medicaid eligibility and continuing eligibility for income maintenance programs related to medical services.
• Utilizes tools to estimate patient financial obligations, including copays, deductibles, and coinsurance and then meeting with patients to discuss payment options.
• Receives and maintains Certified Application Counselor (CAC) certification, if applicable.

WHAT WE EXPECT OF YOU…

• Bachelor’s degree preferably in public health, health education or related field and/or minimum of two years of benefits and insurance experience preferred.
• Knowledge of public and private benefits and state resources.
• Knowledge of federal/state laws, accreditation and regulatory standards governing confidentiality of health care record.
• Exceptional interpersonal and communication skills with the ability to communicate professionally both verbally and in writing with a variety of individuals.
• Caring and empathetic, with a strong customer service focus and the desire to help others in need.
• Self-motivated and independent, with the ability to prioritize work to meet deadlines.

APPLY NOW

Submitting your application is a great way to learn more about Newport Mental Health. If you have questions about how your experience aligns with our job openings or know someone who would be a great candidate for our job openings, please contact Human Resources:

Human Resources

Newport Mental Health

42 Valley Road

Middletown, RI 02842

Tel: View phone number on ziprecruiter.com

Fax: View phone number on ziprecruiter.com

Newport Mental Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin.