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SalaryPOSITION OVERVIEW:
The Benefit Specialist reports directly to the Program Director. The Duties & Responsibilities include • Coordinate, monitor and evaluate benefit services • Develop and maintain a directory of information for manage care providers. Keep case managers informed of any changes in benefits • Assist Case Managers in keeping accurate records meeting managed care requirements • Attend and participate in all required agency meetings: staff meetings, in-service training and weekly case review.
The Benefit Enrollment Specialist will work in Acacia Amanecer program site in the Bronx. Pays:$50,000 per year
KEY ESSENTIAL FUNCTIONS:
- Must be familiarized with Managed Care providers to ensure proper processing of all required documents ie. Appendix A, LocadtrMaintain
- E-mail distribution daily
- Ensure that documents are submitted to Managed Care providers within the required timeline,
Within 24-48hrs from point of admission
- Ensure Discharge/Con-Current review documentation are completed within a timely manner. Complete follow-up call to ensure documents have been received/reviewed
- Must confer with Medical Director when Doc to Doc review are being requested by manage care providers as well as CASAC managing the case
- Track Re-Admissions trends to avoid denial by manage care providers
- Communicate all appeal request to Unit Clerk to ensure charts are submitted to our finance dept. for processing within appropriate timeline
- Assist clients to resolve any problems and answer questions about their Manage Care benefits.
- Educate eligible partner staff and prospective clients about benefits and how to access those benefits.
- Ensure that all program outcomes are properly documented in an accurate and timely manner through program reporting systems
- Work with leadership staff to use program performance data to drive improvements to the program design and implementation
- Participate in all required trainings and meetings; maintain a strong and current expertise in public benefits eligibility, application and enrollment, as well as community resources
- Perform other duties as required
REQUIREMENTS: Experience and Special Requirements
High School diploma required; CASAC 2 and/or Bachelor's Degree in relevant field preferred.
Relevant experience with special need population facing strong barriers towards benefits.
Bilingual Spanish preferred. Excellent communication and computer skills.
Comfortable working closely with others in a stressful environment.
Bilingual, Spanish and English, ability to work independently, Familiarity with database and case noting
