Benefits Coordinator

Opportunity Type: Job

FIGHT Program: John Bell Health Center

Reports to: Melissa Clinkscales, MPH, Practice Coordinato

The John Bell Health Center, FQHC site of Philadelphia FIGHT’s Community Health Centers, is a comprehensive medical clinic that provides primary health care to adults ages 18 and older. The John Bell Health Center was established to provide care to individuals living with chronic health conditions as a result of socio-economic factors including a history of incarceration. Our mission is to provide a safe space for people to access culturally competent health care regardless of their insurance status or ability to pay. Co-located with a prevention-focused program, Institute for Community Justice, the John Bell Health Center supports and cares for people affected by the parallel crises of HIV and mass imprisonment.

The Benefits Coordinator will work in the John Bell Health Center and is responsible for raising awareness of affordable insurance options and providing eligibility and enrollment assistance to uninsured JBHC patients. The Benefits coordinator is also responsible for providing eligibility and enrollment assistance to clients of the John Bell Health Center to public benefits, including but not limited to: the Special Pharmaceutical Benefits Program, SNAP/Food Stamps, Cash Assistance, LIHEAP, Medicare Extra-Help, PACE/PACENET, WIC, Rent Rebates, Homestead Exemption, Unemployment Compensation and SSI/SSD referrals. This work is done in collaboration with JBHC administrative staff, medical staff as well as patients’ Medical Case Managers. This work is done though the BenePhilly Program of Philadelphia FIGHT.

Hours

M-F 9:00 to 5:00pm (with occasional early mornings as needed to accommodate staff meetings and patient visits, and possible evening/weekend hours)

Tasks and Responsibilities

Report to the Benefit Coordinator Supervisor.  Attend weekly Client Services Meetings, Benefit Coordinator Meetings and weekly one on one supervisory meetings.  Comply with all administrative standards and requirements set forward by the Benefit Coordinator Supervisor.

Complete and comply with all BenePhilly meeting, reporting and training mandates.

Comply with all charting/record keeping standards set by the Benefit Coordinator Supervisor. Provide charts to be supervised weekly.  Report to Benefit Coordinator Supervisor for all BenePhilly related issues.

Assess all uninsured clients’ potential eligibility for Medicaid, CHIP and/or Affordable Insurance Coverage, complete Medicaid application if applicable, and enrolls patients in the Affordable Insurance Exchange where applicable.

Assess all clients’ potential eligibility for all other Benefits offered through the BenePhilly Program offer assistance in obtaining these benefits.

Maintain communication with Lax Center medical administrative and case management staff to follow up on the status of patient applications when necessary.

Assist patients receiving an insurance plan for their specific needs and to receive optimal coverage.

Collect compliance data for sliding fee documents; follow up and track the patient or responsible party compliance until the necessary documents have been received.

Review required financial information with patients verbally and in writing; explain the health center’s policy regarding sliding fees and the consequences for not following through with the financial assessment

Collect Income Verification for all clients and scan Verification into client record.

Enter and update collected insurance information in the EMR.

Agree to serve patients’ best interests, and comply with privacy and security standards.

Refer patients to other resources as needed.

Perform other duties as assigned.

Qualifications

Bachelor’s Degree  Preferred  (candidates without Bachelor’s degree but who demonstrate experience and expertise in obtaining Health Insurance Benefits for clients, may be considered)

Experience working with HIV positive individuals, formerly incarcerated individuals, and homeless populations.

Familiarity with and understanding of insurance enrollment and DPW benefits applications.

Experience and proficiency with Microsoft Office required.  Additional experience with online benefit application databases and Electronic Medical Record programs, preferred.

Candidates must possess strong communication skills, the ability to multi-task and excellent an attention to detail and follow-up skills.

Physical Demands

Occasional lifting of 10-20 lbs. and pushing of 5-20 lbs.

Sitting approximately 80% of the time

Normal accessibility and mobility required

Ability to work at a computer screen for long periods of time

Other

Initial probationary period is three months. Performance of other tasks may be assigned on an as-needed basis.

FIGHT is an EEO, Affirmative Action, LGBTQ, and people living with HIV/AIDS and protected veterans institution

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