Benefits Specialist

NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER•Middletown, RI

13d

About The Position

WHO WE ARE… Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use disorders. NMH extends its trauma informed evidence-based services to children, adolescents, families, and adults. Our services vary from outreach, specialized program, mental health, school-based therapy, substance use therapy, community-based therapy, and outpatient clinic. For more information visit our website: www.newportmentalhealth.org WHO WE ARE LOOKING FOR… Mission- Aligned: You are excited to be a part of Newport Mental Health’s mission to improve the lives of our clients living and working in Newport County by providing the highest quality of care. Ally: You intentionally foster belonging, personal growth, and empowerment for all. You are a strong advocate for the BIPOC, LQBTQIA+, Woman, Veteran, and other underrepresented communities. Solution Orientated: You are driven to think of different approaches to narrow the gap which leads to positive and effective changes. Time Management: You are a conscious planner and a thoughtful decision maker who adheres to deadlines. WHAT YOU WILL BE DOING (ESSENTIAL DUTIES) … This position will ensure that individuals who may be eligible for state, federal and local benefits are supported in the process of accessing and making application for benefits. This includes registration, insurance eligibility and enrollment/re-enrollment and access to community-based behavioral health treatment for clients. Support completion and review each application to confirm that the financial statements and other personal information are accurate. Interview the applicants and family members when necessary, and document all your findings that lead to approval or denial of the Medicaid application.

Requirements

Bachelor’s degree preferably in public health, health education or related field and/or minimum of two years of benefits and insurance experience preferred.
Knowledge of public and private benefits and state resources.
Knowledge of federal/state laws, accreditation and regulatory standards governing confidentiality of health care record.
Exceptional interpersonal and communication skills with the ability to communicate professionally both verbally and in writing with a variety of individuals.
Caring and empathetic, with a strong customer service focus and the desire to help others in need.
Self-motivated and independent, with the ability to prioritize work to meet deadlines.

Responsibilities

Prepare and submit Medicaid application, respond to any requests for additional information, prepare appeals for SSI/SSDI denials, and provide advocacy throughout the process.
Knowledge of the RI Medicaid Health Care Portal.
Knowledge of different Medicaid products such as QMB and SLMB.
Reviewing Monthly Medicaid report to ensure active Medicaid for Clients.
Assist with SNAP applications.
Screen and assist with all steps of the Medicaid and Charity Care enrollment process.
Ensure timely submission of Medicaid or Charity application based off program guidelines.
Gather, verify, evaluate, and enter necessary social, financial, and medical information into various applications.
Meet (on the phone or in person) with program participants on a monthly basis or more frequently if needed.
Outreach to individuals to determine Medicaid eligibility and continuing eligibility for income maintenance programs related to medical services.
Utilizes tools to estimate patient financial obligations, including copays, deductibles, and coinsurance and then meeting with patients to discuss payment options.
Receives and maintains Certified Application Counselor (CAC) certification, if applicable.