Enrollment Benefits Specialist en North Central Health Care

Enrollment Benefits Specialist Opportunity:

The Enrollment Benefits Specialist is responsible for inpatient and outpatient registration.  They are responsible for verifying insurance information prior to a client’s appointments via the portals available at North Central Health Care and making sure the necessary signatures are collected from clients, guardians, and power of attorney representatives. 

Compensation and Benefits:

• The pay range for this role is $19.16 - $20.86, based on experience.
• This role is full-time and in person. The typical work schedule is weekdays from 8:00am – 4:30pm.
• PTO, paid holidays, health insurance, dental insurance, vision insurance, on-site bistro and cafeteria, pharmacy, newly updated facility, life insurance, accident insurance, hospital insurance, employee assistance program and more.
• As a full-time employee of NCHC, you would be eligible for the Wisconsin Retirement System (WRS). The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. Participating staff contribute 6.95% and NCHC will match this at 100% each pay period!

What Qualifies You:

Required Education and Experience:

• High school diploma or equivalent
• More than one year of experience in customer service within healthcare or a related field
• Excellent customer service skills
•  Valid Wisconsin driver's license and use of a personal vehicle
•  Ability to communicate effectively in written and verbal form.
•  Knowledge of insurance and billing practices

Preferred Qualifications:

• Associate’s Degree in Healthcare related field
• Experience with billing in a medical or business office setting
• Experience working with a diverse patient population, including severe and persistent mental illness and substance use disorders
• Ability to use independent judgment and decision-making skills

What an Enrollment Benefits Specialist does at NCHC:

• Interviews clients on initial appointment/walk-in. Collects data required for initial service request and to meet precertification and other third-party requirements.
• Contact third party for benefit verification; verifying information for precertification requirements in addition to any copayment amounts. Send out precertification packets if required.
• Contact out of county board representatives to request new authorizations or update ongoing authorizations.
• Upon new inpatient discharge, meet with client to discuss payment policies and procedures or mail inpatient discharge packet.
• Completes preadmission benefit verification as requested by admissions coordinator, including benefits, precertification requirements and copayment amounts.
• Upon inpatient admission, meet with client/responsible party to collect required admitting data.
• Review of daily outpatient appointments to verify accuracy of information in EMR; insurance information, authorization information, etc. Compare with outside eligibility systems, verify benefits and copayments for possible payments.
• Ensure data entry of information into EMR as applicable for home, all outpatient and inpatient programs. Includes demographic, encounters, financial and system update information.
• Maintain the Ability to Pay information. Communicate information to client, including letter to clients for updated information. Also responsible for periodic reviews.
• Verify registration information entered by other departments for completeness and accuracy, updates as needed, including adding to any subsequent system(s).
• Maintains regular and predictable on-site attendance.

About North Central Health Care:

Nestled in the heart of Central Wisconsin, North Central Health Care (NCHC) is a healthcare organization formed over fifty years ago as a partnership between three Central Wisconsin counties - Langlade, Lincoln, and Marathon. NCHC employs approximately 775 professionals in diverse roles across a variety of care and work environments. We provide passionate and high-quality care for individuals and families within the fields of mental health treatment, addiction services, long term care, short term care, physical therapy, crisis stabilization and so much more. We have amazing employees who provide exceptional care and want to add to our team. You can visit our website at www.norcen.org/careers to learn more.

In compliance with the American with Disabilities Act, NCHC will provide reasonable accommodations to qualified individuals and encourages both prospective and current employees to discuss potential accommodations with the employer. North Central Health Care is an Equal Opportunity Employer.