Job detail

Consumer Benefits Specialist

Community Connections, Inc.

#Case Management #Behavioral Health #Data Entry #Documentation #HIPAA #Policy Development #Human Services #Medicare #Medicaid

Quick overview

The Consumer Benefits Specialist screens consumers for eligibility for programs like SSI, Medicaid, and Medicare while assisting them through the application and appeal process. They also maintain accurate consumer data, generate status reports, and serve as a subject matter expert for staff regarding benefits policies.

Requirements summary

The position requires an associate degree, with a bachelor's degree preferred, and at least two years of experience in behavioral health, supportive housing, or financial intake. Candidates must possess strong computer skills and a thorough understanding of government service delivery systems.

associate degreebachelor degreeCommunication skillsComputer literacyResource navigationHIPAA complianceData entryDocumentation managementCase managementReport generationPolicy developmentBehavioral health supportInteragency coordinationEligibility screeningMedicaid enrollmentSocial Security applicationFinancial assessment

Job description

Position Summary

The Consumer Benefits Specialist under the direction of the Consumer Access Manager and/or Director of Admissions and within federal, state and local guidelines performs routine human services support work. The Consumer Benefits Specialist provides information to consumers or assists staff in the delivery of social services. The Consumer Benefits Specialist assists consumers in obtaining SSI (Supplemental Security Income)/Medicaid and other relevant benefits by screening for eligibility, obtaining necessary information and documents, assisting with the completion of forms, and assisting consumers throughout the application and appeal process. The Consumer Benefits Specialist is assigned to work with consumers and will act as a resource for benefits information to the staff and consumers of those assigned units.

Key responsibilities

Salary Range

$49,000 - $59,000

The following list outlines key responsibilities for the position; however, it is not exhaustive and does not encompass all responsibilities. Additional duties may be assigned as needed.

Consumer Screening & Eligibility
Screen consumers for eligibility by completing the appropriate applications and/or financial assessment(s) for various relevant benefits including but not limited to Medicaid, Medicare, QMB (Qualified Medicare Beneficiary), SSI, Social Security
Contribute to the ongoing development of financial assessment and eligibility screening tools for various relevant benefits
Maintain necessary information and documentation for completion of the initial screening process
Use all available resources to collect information and supporting documentation necessary to complete eligibility screening as appropriate for consumers scheduled
Communicate with external agencies (e.g., Social Security Administration, DC Medicaid, DHS) to track applications and resolve eligibility issues

Documentation & Coordination
Accurately enter and maintain consumer benefits data in the agency’s electronic record system; generate reports as needed
Provide or obtain information to/from clinic and case coordination staff to facilitate completion of the screenings initiated
Generate and maintain reports related to benefits status, application outcomes, and pending verifications

Consumer Benefits Specialist

Quick overview

Requirements summary

Job description

Position Summary

Key responsibilities

Salary Range

Desired knowledge/Skills/Abilities

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