Health Benefit Coordinator

Position Summary: The Health Benefit Coordinator (HBC) role is an essential program within Florida Community Health Centers (FCHC). We assist patients and others within our communities to apply for benefits that help to meet fundamental needs. This includes completing FL Medicaid, Food Stamp, Marketplace and Prescription Drug Applications. The person in this role must exemplify compassion, understanding and advocacy.

Role and Responsibilities:

• Completion of applications for state and federal programs (including Health Exchange/Marketplace programs and prescription drug assistance programs), reviewing medical records and taking all necessary action to expedite benefit approval.
• Interviewing patients in a community health center and hospital setting to assist the patients in obtaining maximum benefit coverage.
• Making a determination to complete a federal, state, local or pharmaceutical benefit application based upon medical definition of disability as it relates to body systems and to functions of daily living, and information contained in medical records.
• Monitors and fosters ongoing communications with government agencies regarding the status of applications.
• Effectively educates and answers inquiries from patients and family representatives regarding application process.
• Assists callers in resolving account issues by identifying and taking appropriate actions including completing required forms to support application process.
• Reviews inbox for daily work queues, identifies missing evidence and follows through to completion.
• Documents and updates internal database based on daily contact of select members of assigned applicant group and application evidence requirements, i.e. work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history and documentation where evidence is required.
• Assists patients with scheduling appointments and reminding of appointments, as needed.
• Complies with ethics, privacy and compliance policies and procedures.
• Assists with completion of prior authorizations alongside the pharmacy team

Skills and Abilities

• Must exemplify a professional demeanor.
• Possess empathy with the target population and must be culturally sensitive to all racial/ethnic groups.
• Ability to communicate effectively verbally and in writing in English.
• Ability to establish and maintain effective working relationships with others.
• Must be a self‐starter.  Ability to work independent of constant supervision.
• Ability to prepare and maintain records and reports.  Must be prepared to report suspected child or elderly abuse as well as suspected fraud to the appropriate authorities.
• Be computer literate.
• Be able to work with clients who may be unable to read, write and are unable to operate a computer.
• Must be able to prioritize work, and be flexible to changes at any moment.
• HIV education and prevention experience, a plus
• Ability to research available programs and benefits that will help our communities

Qualifications and Education Requirements:

Minimum Requirements (experience, training, and education): To effectively fulfill this position, candidate must meet the following requirements:

• High School Diploma or its equivalent
• College degree in related field of Social Services, Human Services or Healthcare, a plus
• Valid Florida Driver’s License and has reliable/accessible transportation.
• Bilingual Spanish/English, a plus

Training/certifications (can be gained post hire)

• HIV 501
• Certification as CAC

All qualified candidates must be able to perform the essential functions of this position. This job description is not intended to be all-inclusive. FCHC reserves the right to modify or change the essential functions of this position based on reasonable related business necessity as assigned by your supervisor.

**This job description does not constitute a written or implied contract of employment**.