Specialist Credit Balance

Responsibilities Responsible for assisting patients to enroll in health insurance coverage and ensuring that they maintain accurate and timely eligibility. Support patients applying for health coverage through Healthcare.gov, state-based exchanges, or NJ Medicaid. Guide patients through choosing appropriate plans, completing required documentation, and navigating plan rules and deadlines. This role involves working closely with state health agencies, healthcare providers, and patients to ensure eligibility is accurately determined and documented. Qualifications 3 to 5 years of experience in Patient Finance High school diploma or equivalent required Associate’s degree in healthcare administration, public health, or related field preferred Working knowledge of health insurance terminology and plan structures (e.g., PPO, HMO, etc.) Proficiency in data entry systems and healthcare websites Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service-related responsibilities. Ability to interpret responses on Explanation of Benefits and insurance contracts Strong understanding of patient co-pays, co-insurance, and deductibles Empathetic, patient-first communication style Strong attention to detail and accuracy in data handling Analytical thinking and problem-solving for eligibility questions Ability to initiate and follow through on projects and work independently with minimal supervision Possesses and demonstrates excellent communication, organizational, technical, and interpersonal skills Previous work in a hospital, managed care organization, or insurance company REQUIRED Certified Application Counselor (CAC) for ACA Marketplace Enrollment #J-18808-Ljbffr St. Joseph's Regional Medical Center