What are the responsibilities and job description for the Part Time Health Benefits Advisor - School Based Health position at BALTIMORE MEDICAL SYSTEM, INC?
Current Employees Must Apply Through Their Kronos Employee Account
The Health Benefits Advisor (HBA) is responsible for assisting in obtaining insurance coverage or eligibility for grants, specific programs, or other funding sources. The HBA is responsible for ensuring BMS patients have a clear understanding of the various benefit programs and the application requirements. The HBA is responsible for collecting the necessary documentation from patients and processing all enrollment forms promptly. The HBA also determines patient eligibility for various benefit programs and assures patients have a clear understanding of their benefit coverage and patient responsibilities. The HBA tracks the application process and communicates status updates as necessary.
Essential Functions:
- Assists patients with the completion of eligibility forms.
- Review application form(s) with the patient or his/her representatives and advise what documentation or information is needed to complete the application process.
- Assists patients with insurance (e.g., ACA enrollment) and provides feedback to the clinical team as needed.
- Works to ensure patients and other BMS employees or their representatives understand enrollment, eligibility, and coverage limitations.
- Communicates with all patients in a clear, understandable, and professional manner.
- Ensures that all enrollment forms are properly completed and forwarded to the appropriate processing agent promptly.
- Helps patients understand balance, patient statements, or other financial documents associated with healthcare services.
- Determines patients’ eligibility for various programs (Medical Assistance, Sliding Fee, and the Affordable Care Act, etc.) and explains to patients the benefits of the program(s) for which they appear to be eligible.
- Schedules appointments with medical assistance workers when deemed necessary and verifies appointments and status of MA eligibility.
- Coordinates eligibility process with both internal and external resources. (e.g. medical assistance workers) and tracks patient follow-through.
