Patient Benefits Specialist

Join the Erie team! Motivated by the belief that healthcare is a human right, we provide high quality affordable care to support healthier people, families, and communities. Erie delivers holistic care to help every member of the family stay healthy and active from infancy through adulthood. Since 1957, we have provided high-quality care to diverse patients most in need, regardless of their insurance status, immigration status, or ability to pay.

Erie Family Health Centers, a top workplace in Chicago and suburbs, is looking for a valuable addition to our Patient Benefit Services team! The Patient Benefit Specialist II supports a variety of initiatives within the Patient Benefit Services Department. The Specialist’s II primary responsibilities will be to inform, educate and assist patients with enrollment of all programs such as Medicaid and Medicare. In addition, they will coordinate and monitor the Patient Benefit Line, desktops through Erie’s electronic medical record, emails, and patients referred to Health Justice. The Patient Benefits Specialist II will be part of a collaborative team to achieve high levels of patient retention and enrollment by ensuring efficient and friendly customer service to the clients of Erie Family Health Centers.

At Erie, we are proud to provide competitive salaries, high-quality health care plans, generous time off benefits, retirement benefits, and more! Erie employees are eligible for Erie’s Full Benefits Package that includes Medical, Dental, Vision, Life and Disability Insurance and Flexible Spending (FSA) for Health Care or Childcare. Retirement Programs: 401(k) program with Erie matching $0.50 for every $1.00 up to the first 5% of the employee’s biweekly salary. Annual Paid Time Off: starting at 15 days of PTO, and 8 paid holidays. Competitive salary, annual merit increases, plus room for growth and career advancement.

Main Duties & Responsibilities

• Inform, educate, and assist patients with enrollment in all programs such as Medicaid, Medicare, Medicare Supplement, and other health insurance.
• Coordinate and monitor the Patient Benefit line and assist patients with their health plan (Commercial, Marketplace, and Medicaid) benefits, redetermination, and enrollment questions.
• Assist with urgent patient cases in need of medical coverage and escalate to the state for Medicaid approval.
• Provide high level support educating and assisting patients on Medicaid redetermination and insurance enrollment and eligibility processes.
• Collaborate with Patient Benefit Services, Patient Benefit Advocates, Patient Access Center Staff, Providers and Clinical Support Staff as needed to fulfill patient and external requests.
• Calls insurance company to obtain eligibility and benefit information for all incoming requests.
• Troubleshoot and research insurance-related problems.

Education

• Associate or bachelor’s degree or equivalent combination of education and experience in relevant role required
• Two years’ experience in health care field, required.
• Two years’ experience in Medicaid managed care, required.

Skills and Knowledge

• Experienced in utilizing a computer and other office equipment, required.
• Ability to work independently and collaborate with care teams in a fast-paced environment while remaining organized.
• Exceptional customer service skills.
• Excellent organizational skills
• Excellent interpersonal and communication skills.
• Excellent oral and written communication.
• Proficiency in Microsoft Office products, especially Excel required.
• Adaptability in shifting current workflows to new priorities that arise.
• Medical terminology.
• Knowledge of electronic medical records and clinical documentation.
• Bilingual fluency (English/Spanish) a plus (May be required to assist or work with non-English/Spanish only speaking patients and/or guests.)

The Erie Advantage Pledge
WORKING TOGETHER FOR WHAT MATTERS MOST
Erie makes a pledge that all current and future employees can feel confident that:
Our mission, vision, and values unite us.
Our voices matter.
We do things well.
Our inclusive culture promotes balance and belonging.
We find our career sweet spot at Erie.

COVID-19 vaccine documentation is required for all employees.