Revenue Cycle Management (RCM) Benefits Manager

Helio Health • City of Utica, NY

11d

About The Position

Helio Health, Inc. promotes recovery from substance use and mental health disorders and other health issues. The Benefits Manager supports participants in applying for or retaining insurance and other benefits for which they are eligible, and helps them meet requirements and provide documentation needed to maintain coverage. The role supports participants in Residential, Inpatient, and Outpatient Programs in the assigned region, working with participants, third-party payers, Medicaid, County DSS representatives, and state and federal agencies. The position also builds relationships with organizations to improve access to insurance and benefits and collaborates with Revenue Cycle Management colleagues and leadership on benefit requirements and state regulations.

The position receives supervision from the Team Leader and/or Patient Access Specialist Manager and maintains consistent communication with the supervisor about workload. The annual pay rate is $62,400. The role is eligible for a sign-on incentive of $1,500 to $8,000, depending on credentials.

Requirements

• Associate degree required.
• Two years of experience in billing or benefits enrollment in a health care, social services, or managed care setting.
• Equivalent combinations of training, education, and experience may qualify if they provide the required benefit-management knowledge and abilities.
• Ability to work effectively with patients, the professional community, and coworkers.
• Excellent internal and external customer service skills.
• Excellent attention to detail.
• Excellent verbal and written communication skills.
• Strong computer skills, including Microsoft Word, Outlook, and Excel, and basic knowledge of electronic health record systems, health care billing systems, and insurance portals.

Nice To Haves

• Bachelor's degree preferred.
• Qualified Health Professional (QHP) preferred.

Responsibilities

• Review insurance enrollment, certification, and other local, state, and federal requirements with participants.
• Track and support participants' documentation needs, confirm eligibility and benefit levels, explain authorization requirements, support re-enrollment, and coordinate benefits.
• Review participant obligations related to financial responsibility, discount fee options, and payment planning.
• Assist in developing and administering procedures for participant benefit management.
• Negotiate access to care for individuals seeking services at Helio Health, Inc.
• Educate program staff about evolving benefit changes and requirements.
• Use relationship management, service coordination, resource management, education, and patient advocacy to promote improved quality of care and/or life.
• Attend training on benefit plan changes and requirements to stay current.
• Participate in assigned program, administrative, and clinical committees.
• Represent the agency to the community.
• Perform other duties as assigned.

Benefits

• Health insurance, including dental and vision coverage for employees and families.
• Paid vacation and sick leave, with no waiting period for accruals.
• Paid holidays, including a floating birthday holiday.
• 401(k) plan with up to 5% company match.
• Company-paid short-term disability insurance.
• Company-sponsored life insurance.
• Employee Assistance Program (EAP).
• Sign-on incentive of $1,500 to $8,000, depending on credentials.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree