Crossroads Health, a 501(c)(3) non-profit organization with facilities located in Mentor, Painesville, and Cleveland, serves Northeast Ohio communities with comprehensive behavioral and primary integrated healthcare, early childhood services, extended housing and recovery services—no matter one’s ability to pay. Our mission is to provide hope, healing, and healthcare to everyone.
The Benefits Specialist will facilitate comprehensive linkage and follow-up between clients and staff, the Lake County Department of Human Services, Social Security, the Marketplace, the Children’s Health Insurance Program (SHIP) and other organizations that provide benefits to individuals and families. The responsibilities and duties of this position include, but are not limited to, researching patient’s/client’s current Medicaid status, working with the patient/client to obtain and/or maintain their benefits and entitlements, coordinating the Medicaid application process (presumptive Medicaid), and collaborating with other members of a patient’s/client’s treatment team.
Primary Responsibilities:
- Provides clients with information and assistance regarding eligibility with commercial insurance, Medicaid, Marketplace, CHIP and self-pay. Determines the eligibility status and submitting for Presumptive Medicaid if eligible. Verifying family size & income & updating if needed. Completing Lake County ADAMHS enrollment form & entering information into the GOSH system. Applying sliding fee when appropriate.
- Resolving denials related to patient’s/client’s benefits/eligibility and contacting patient as needed for further information.
- Be able to review and discuss open patient/client balances and collect payments or set up payment plans to assist patients in paying their bills.
Requirements:
- High School diploma required/Bachelor's (preferred)
- Two years of Billing/Insurance experience (preferred)
- Experience in healthcare, nonprofit, behavior health (preferred)
- Demonstrated expertise in eligibility and enrollment rules and procedures, training in the Marketplace
- Proficiency in multi-tasking and working on competing priorities
Our organization is committed to equal employment opportunity. We do not discriminate against employees or applicants on the basis of race, color, religion, gender/sex (including pregnancy, childbirth, and pregnancy-related conditions), sexual orientation, gender identity, national origin, age, physical or mental disability, veteran status, uniform service member status, genetic information, or any other status protected by law. We are a drug free work environment and all new hires will be required to take and pass a 10 panel drug screen which includes screening for THC.
Visit our website: www.crossroadshealth.org
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What We Do
Crossroads Health provides the industry's MOST comprehensive credit balance solution. We partner only with you, the healthcare provider. We are not owned by nor affiliated with any health insurance company. We are your advocate and partner. Our sole purpose is to resolve ALL credits in your revenue cycle regardless of the source. We will ensure you are compliant with all regulation and you are only refunding what is truly due back to patients, payers and the government.
