Specialist Credit Balance

St. Joseph's Health • Paterson, NJ

8d

About The Position

Responsible for assisting patients enroll in health insurance coverage and ensure they maintain accurate and timely eligibility. Support patients applying for health coverage through Healthcare.gov or state-based exchanges or through NJ Medicaid. Guide patients through choosing appropriate plans, completing required documentation, and navigating plan rules and deadlines. This role involves working closely with state health agencies, healthcare providers, and patients to ensure eligibility is accurately determined and documented.

Requirements

• 3 to 5 years of experience in Patient Finance
• High school diploma or equivalent required
• Working knowledge of health insurance terminology and plan structures (e.g., PPO, HMO, etc.)
• Proficiency in data entry systems and healthcare websites
• Working knowledge can be of the following: insurance claims, billing, coding, follow-up, finance, accounting or customer service-related responsibilities.
• Ability to interpret responses on Explanation of Benefits and insurance contracts
• Strong understanding of patient co-pays, co-insurance, and deductibles
• Empathetic, patient-first communication style
• Strong attention to detail and accuracy in data handling
• Analytical thinking and problem-solving for eligibility questions
• Ability to initiate and follow through on projects and work independently with minimal supervision
• Possesses and demonstrates excellent communication, organizational, technical, and interpersonal skills
• Previous work in a hospital, managed care organization, or insurance company
• Certified Application Counselor (CAC) for ACA Marketplace Enrollment

Nice To Haves

• Associate’s degree in healthcare administration, public health, or related field preferred

Responsibilities

• Assist patients in enrolling in health insurance coverage.
• Ensure accurate and timely eligibility for health insurance.
• Support patients applying for health coverage through Healthcare.gov, state-based exchanges, or NJ Medicaid.
• Guide patients in choosing appropriate plans, completing documentation, and understanding plan rules and deadlines.
• Work closely with state health agencies, healthcare providers, and patients to ensure accurate eligibility determination and documentation.

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED