Title: Membership Financial Counselor - Omaha, NE

Location: NE-Omaha

Job Description:

Position Name: Membership Financial Counselor

Location: Omaha, NE (multiple locations)

Employment Type: Direct-Hire & Permanent

Setting: Primary Care/Hybrid

Pay

$45,000 to $55,000 + 7% bonus (depending on experience)

Shift (Full-Time)

Monday-Friday: 8am-5pm

No: weekends

Qualifications

Required:

3 years of recent experience with Medicaid, Medicare, Medicare Advantage, and Special Needs Plan (SNP) eligibility and enrollment

Proficiency with Microsoft Office Suite

Multi-site healthcare delivery organization experience

Capitated risk-based reimbursement models experience

Valid/Active Driver&#39;s License

Preferred:

Bachelor&#39;s Degree

Salesforce experience

Microsoft Teams experience

eClinicalWorks or similar EMR experience

Application Guidelines

Professional Stability: 2+ years in recent roles preferred.

Complete Resume: Full work history with job title, company, dates (month/year), and responsibilities for each role.

Serious Applicants: Incomplete applications or frequent unexplained job changes may be disqualified.

Required Skills & Abilities

Strong knowledge of Medicaid, SNP, and various assistance programs, including eligibility requirements for multi-state and federal programs.

Proven ability to communicate effectively and build relationships with stakeholders and team members.

Excellent organizational, written communication, and problem-solving skills.

Proficient in navigating state benefit portals and understanding medical insurance, including the ability to interpret explanations of benefits (EOB).

Willingness to travel regularly within the assigned market (80%).

Job Summary

The Member Financial Counselor will assist patients (members) in enrolling in state and federal assistance programs to maximize their eligible benefits. This position involves direct interaction with members and requires travel within the assigned market to engage with them at various centers.

Candidates should possess strong technological skills to effectively navigate the requirements of health plans and assistance programs. The ideal applicant will have excellent attention to detail for data entry, be receptive to feedback from leadership, and be able to communicate clearly with senior members.

Job Duties

Assist members in completing paperwork for eligibility determination and enrollment in state and federal programs, including Medicaid and SNAP.

Evaluate and document patients&#39; financial histories in relation to Medicaid and other program regulations.

Input and update data into various systems to ensure accurate reporting.

Meet with members and/or guarantors to assist with the Medicaid and Marketplace application processes.

Uphold patient confidentiality by complying with all relevant laws and regulations regarding privacy rights.

Benefits

Medical, Dental, Vision, HSA, FSA

Life & Basic Life Insurance

AD&D, Short-Term and Long-Term Disability

401K Retirement

PTO, 10 Holidays Off, 2 "Floating Holidays"

Pay Details: $45,000.00 to $55,000.00 per year

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