Finance

Benefits Specialist Bronx, NY : 10/27/2023

Job Description

Job ID#:

3651

Job Category:

Finance

Details:

POSITION OVERVIEW:

The Benefit Specialist reports directly to the Program Director. The Duties & Responsibilities include • Coordinate, monitor and evaluate benefit services • Develop and maintain a directory of information for manage care providers. Keep case managers informed of any changes in benefits • Assist Case Managers in keeping accurate records meeting managed care requirements • Attend and participate in all required agency meetings: staff meetings, in-service training and weekly case review.

The Benefit Enrollment Specialist will work in Acacia Amanecer program site in the Bronx. Pays:$50,000 per year

KEY ESSENTIAL FUNCTIONS:

• Must be familiarized with Managed Care providers to ensure proper processing of all required documents ie. Appendix A, LocadtrMaintain

• E-mail distribution daily

• Ensure that documents are submitted to Managed Care providers within the required timeline,

  Within 24-48hrs from point of admission

• Ensure Discharge/Con-Current review documentation are completed within a timely manner. Complete follow-up call to ensure documents have been received/reviewed

• Must confer with Medical Director when Doc to Doc review are being requested by manage care providers as well as CASAC managing the case

• Track Re-Admissions trends to avoid denial by manage care providers

• Communicate all appeal request to Unit Clerk to ensure charts are submitted to our finance dept. for processing within appropriate timeline

• Assist clients to resolve any problems and answer questions about their Manage Care benefits.

• Educate eligible partner staff and prospective clients about benefits and how to access those benefits.

• Ensure that all program outcomes are properly documented in an accurate and timely manner through program reporting systems

• Work with leadership staff to use program performance data to drive improvements to the program design and implementation

• Participate in all required trainings and meetings; maintain a strong and current expertise in public benefits eligibility, application and enrollment, as well as community resources

• Perform other duties as required

  REQUIREMENTS: Experience and Special Requirements

High School diploma required; CASAC 2 and/or Bachelor's Degree in relevant field preferred.

Relevant experience with special need population facing strong barriers towards benefits.

Bilingual Spanish preferred. Excellent communication and computer skills.

Comfortable working closely with others in a stressful environment.

Bilingual, Spanish and English, ability to work independently, Familiarity with database and case noting

Job Requirements