Job Information
Acacia Network Benefits Specialist in Bronx, New York
Finance
Benefits Specialist Bronx, NY : 9/17/2024
Job Description
Job ID#:
4022
Job Category:
Finance
Details:
Acacia Network, the leading Latino integrated care nonprofit in the nation, offers the community, from children to seniors, a pathway to behavioral and primary healthcare, housing, and empowerment. We are visionary leaders transforming the triple aim of high quality, great experience at a lower cost. Acacia champions a collaborative environment to deliver vital health, housing and community building services, work we have been doing since 1969. By hiring talented individuals like you, we've been able to expand quickly, with offices in Albany, Buffalo, Syracuse, Orlando, Tennessee, Maryland and Puerto Rico.
POSITION 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-ups call to ensure documents have been received/reviewed
Must confer with Medical Director when Doc to Doc review is 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
Job Requirements
