Revenue Cycle Management (RCM) Benefits Manager
$62,400–$62,400 year
On-siteUtica, New York, United States
Job Summary
Review insurance enrollment, certification, and local, state, and federal requirements with participants. Support participants through tracking documentation needs, confirming eligibility, verifying benefit levels, managing authorizations, and coordinating re-enrollment. Review participant obligations regarding financial responsibility, discount fees, and payment planning. Assist in developing and administering procedures for participant benefit management. Negotiate access to care for individuals seeking services at Helio Health, Inc. Educate program staff on evolving benefit changes and requirements. Attend training on benefits plan updates and participate in administrative and clinical committees as assigned. Represent the agency to the community. This role reports to the Team Leader and Patient Access Specialist Manager, covering Residential, Inpatient, and Outpatient Programs. A Sign-on incentive of $1,500 to $8,000 is available based on credentials.
Required Qualifications
- Associate degree
- Two years of experience in billing or benefits enrollment in health care, social services or managed care setting
- Equivalent combination of training, education, and experience that would provide the required knowledge and abilities about benefit management
- Excellent ability to work effectively with patients, the professional community and co-workers
- Excellent internal and external customer service skills
- Excellent attention to detail
- Excellent verbal and written communication skills
- Excellent computer skills with a basic knowledge of electronic Health record systems, health care billing systems and insurance portals
- Strong computer skills including Microsoft Word, Outlook and Excel
Desired Qualifications
- Bachelor's degree
- Qualified health Professional (QHP)
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