Patient Benefits Specialist- ACCESS at Sinai

We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive the organization forward, and recognize the positive impact they can bring to our communities.

This role requires travel to ACCESS at Sinai and ACCESS Westside

Who We Are

If you want to work for a mission-driven organization that's impacting community health care both on a local and national level, then Access Community Health Network (ACCESS) may be the perfect place for you. As a nationally recognized leader in community health, we continue to innovate and improve our integrated care model to address the total health and wellness of our patients. Our dedicated staff are committed to advancing health equity and making a long-term impact on the health outcomes of the more than 150,000 patients that count on ACCESS as their medical home each year.

Position Summary

The Patient Benefit Specialist is responsible for working directly with patients to ensure a clear understanding of insurance coverage, financial responsibilities, and available payment options.

• Conduct benefit orientation and explain financial requirements
• Perform financial assessment interviews and screen for coverage/eligibility
• Verify third-party and other healthcare coverage
• Assist with program enrollment based on assessment results
• Enter and maintain accurate benefit information in EHR
• Support patients with Medicaid applications and redetermination
• Guide patients through the revenue cycle process and support services

Requirements

• High school diploma or GED.
• Minimum of two (2) years of customer service experience.
• Prior experience with All Kids and Moms & Babies (MPE) programs preferred.
• Knowledge of Medicare, Medicaid, Marketplace insurance, and HMO regulations preferred.
• Knowledge of Electronic Health Records (EHR), especially EPIC preferred.
• Intermediate proficiency in Microsoft Office products (e.g., Word, Excel, Outlook).
• Ability to communicate clearly and effectively with diverse patient populations.
• Strong organizational and multitasking skills are essential.
• Bilingual in English and Spanish a plus.

Working Conditions/Equipment

• Normal office environment regularly
• Health Center environment occasionally
• Local travel between health centers and community events is required; mode of transportation required
• If personal vehicle is employed, a current driver's license and proof of insurance is required

Benefits

• Tuition reimbursement and student loan forgiveness programs for qualifying individuals
• Comprehensive healthcare coverage including Medical, Dental, and Vision
• Generous PTO
• 403(B) retirement plan and financial resources to help you save and plan for your retirement
• Life Insurance
• Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace

ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on position applied/being recruited for, candidates may be required to be vaccinated against communicable diseases and provide supporting documentation proving that they are properly vaccinated, or apply for religious and/or medical vaccination exemption as a part of the application process.

The pay ranges provided represent the minimum to mid-range for positions. Actual compensation will be determined based on a combination of factors including years of experience, educational background, market conditions, and available grant funding.