Resident Benefits Specialist

Dove Healthcare - West Eau Claire 1405 Truax Blvd Eau Claire WI 54703

Schedule Details:

• Full-time

Position Summary:

The Resident Benefits Specialist is responsible for verifying payer sources and coordinating insurance benefits for prospective and newly admitted residents. This position plays a critical role in ensuring accurate expeditious benefit verification securing insurance authorizations and supporting a smooth financial admission process for residents and families.

The Resident Benefits Specialist works closely with admissions clinical teams and insurance providers to validate coverage obtain required authorizations and ensure timely communication with residents and families regarding financial responsibilities.

Key Responsibilities:

• Verify insurance benefits eligibility and coverage details
• Communicate with insurance providers payers and internal teams
• Assist with prior authorizations and coverage determinations
• Collaborate with admissions and billing teams to ensure smooth service delivery
• Review and confirm secondary insurance coverage where applicable.

Medicaid & Financial Eligibility

• Communicate with residents families and internal staff regarding Medicaid application status requirements and documentation needs.
• Insurance Authorization Management
• Maintain ownership of the insurance authorization process including:
• Obtaining prior authorizations for admissions when required.
• Communicate authorization status to the clinical team admissions staff and leadership.

Communication & Coordination

• Serve as a key contact for insurance verification and authorization questions.
• Communicate clearly with residents families referral sources and internal team members regarding benefit coverage and financial responsibilities.
• Collaborate with admissions MDS therapy and billing teams to ensure accurate payer setup and coverage coordination.

Documentation & Systems

• Maintain accurate documentation of benefit verifications and authorization information in facility systems.
• Utilize electronic systems and payer portals to verify benefits and manage authorizations.
• Ensure compliance with facility policies and payer requirements.

Qualifications:

Required:

• Basic knowledge with insurance verification healthcare benefits or billing
• Excellent communication and customer service skills
• High attention to detail and organizational skills
• Ability to manage multiple tasks in a fast-paced environment
• Proven experience in administrative or healthcare-related roles
• Strong communication and customer service skills with the ability to interact professionally with residents families and staff
• Proficiency with computer systems and accurate data entry

Preferred:

• Advanced knowledge with insurance verification healthcare benefits or billing
• Background in long-term care healthcare admissions or case management
• Knowledge of Medicaid and Medicare eligibility and processes

Work Environment:

• This position is on-site
• Requires frequent interaction with residents families referral partners and internal staff.

Key Competencies:

• Customer Service Orientation
• Attention to Detail
• Organization and Time Management
• Professional Communication
• Problem Solving

Health and Wellness Benefits

• choose your own health insurance - our benefit design offers the flexibility to choose the plan that works best for you and your family!
• company paid life and AD&D insurance
• dental and vision Insurance
• wellness incentives including onsite gyms health club reimbursement weight loss program reimbursement
• supplemental benefits including short-term disability life insurance critical illness accident coverage hospital indemnity cancer
• paid time off (PTO)
• floating holiday
• employee assistance program (EAP)

Financial Benefits

• early wage access through DailyPay
• childcare assistance - up to 20%
• 401k with company match
• financial planning resources
• referral bonus - up to $700 per referral

Career Development

• tuition reimbursement / scholarship opportunities
• continuing education
• career mapping

All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin disability or Veteran status.

About Dove Healthcare

Dove Healthcare consists of 11 skilled nursing and rehabilitation centers six assisted living residences and three independent living complexes in Barron Bloomer Chippewa Falls Eau Claire Fennimore Lodi Osseo Rice Lake Spooner St. Croix Falls and Superior.

Our core services include inpatient and outpatient rehabilitation post-hospital care ventilator care skilled nursing long-term and end-of-life care as well as senior independent living assisted living and memory care.

As an innovative healthcare provider and community partner we provide compassionate care and service to meet the needs of those who depend on us. We commit to excellence through adherence to high standards disciplined leadership and mutual respect for all.

For more information visit .

Required Experience:

IC