Client Benefit Specialist

Greater Nashua Mental Health is looking for a full-time Client Benefit Specialist to join our team! The Client Benefit Specialist is responsible for overall assessment and monitoring of client financial responsibility for all services received by GNMH and assists both clients and GNMH providers in determining optimal medical financial assistance eligibility and facilitates relevant application process. Liaises with assigned clinical team members to review client accounts and coverage status on regular basis and assists clinicians with the opening of Medicaid Spenddown accounts.  Works in collaboration with the Revenue Cycle Department to work with clinicians on their assigned team to ensure proper credentialing and to correct system and coding errors that interfere with billing process. 

Duties & Responsibilities: 

• Counsels and assesses eligibility uninsured clients for State and Federal medical financial assistance programs, such as disability determination, Medicaid eligibility, and benefits determinations.
• Assists clients through the eligibility determination process and completion of necessary documentation whenever case managers are either unassigned or unable to do so.
• Calculates cost of new or revised treatment plans, and reviews with clients their responsibility after all expected insurance and benefits are applied, and obtains client acknowledgement of GNMH financial policy.
• Assesses clients for potential charity care based on GNMH charity care policies, and completes all required documentation.
• Maintains positive working relationships with GNMH Clinical, Billing, and Client Access staff to ensure client financial information is accurate and up-to-date within the EMR system and addresses the client's financial needs while securing funding.
• Attends clinical team meetings and works with clinicians and case managers to limit lapses in client insurance coverages and ensure services received are ordered and covered.
• Completes, monitors, and ensures assigned clinical staff holds all necessary credentials.
• Reviews processing error reports and works with clinical staff to obtain quick resolution.
• Maintains knowledge of state and federal programs, and conducts or attends financial counseling training for GNMH staff relative to available programs and GNMH policy and procedures.
• Answers phones and/or covers front-desk staff during times of excessive volume or staffing shortages
• Performs other duties or special projects as required or as assigned.

Qualifications: 

• High School Diploma or GED equivalent required.
• Knowledgeable of current Local and State agencies and their available benefit programs.
• Knowledge of Microsoft Office products (Email, Word, EXCEL).
• Projects a friendly, positive, and professional attitude both in person and on the phone.
• Ability to effectively deal with all levels of customers in a professional manner, utilizing strong customer service, interpersonal and listening skills. 
• Understands and respects the needs of the clients served at GNMH and is able to meet with them to determine their specific areas of need in a comfortable and objective manner.
• Financial acumen related to personal finance and budgeting.
• Strong collaborating skills, and an ability to work effectively both independently and as part of a team.
• Effective oral/written communication skills necessary to clarify benefit details, requirements, and processes.
• Comfortable in a fast-paced environment with frequent deadlines; high energy, self-motivated and proactive.
• Ability to multitask, and be flexible with regard to workload and assignments.
• Ability to exercise judgment.