Benefits Eligibility Advocate

Job Description:

Job Title: Benefits Eligibility Advocate

Location: Saint Louis, MO

Department: Recovery Services

Employment Type: Full-time

Job Summary:
Join our compassionate and collaborative team as a Benefits Eligibility Advocate, where you will play an important role in helping individuals and families access the healthcare coverage they need to live healthier, more stable lives. In this position, you will make a meaningful difference by guiding clients through the Medicaid enrollment process, ensuring they receive essential services that support their wellbeing and recovery. This role offers the opportunity to build strong relationships with clients, develop expertise in healthcare eligibility systems, collaborate with a supportive interdisciplinary team, and contribute to an organization dedicated to improving lives within the community.

As a Benefits Eligibility Advocate, you will provide education, guidance, and hands-on assistance to individuals seeking Medicaid coverage. You will support clients throughout the application and renewal process, monitor application progress, and ensure documentation is submitted accurately and on time. Working closely with internal staff and the Family Support Division (FSD), you will help resolve issues, maintain compliance with Medicaid guidelines, and support efficient revenue cycle operations that allow critical services to continue reaching those who need them most.

This position offers…
· Employee Assistance Program – 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
· Mileage Reimbursement – Company paid for work functions requiring travel
· Employee Discounts – Hotels, Theme Parks & Attractions, College Tuition
· Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting a healthy, joyful workforce
· Additional Perks & Benefits - Scroll down to bottom of this post to learn more

Key Responsibilities:
· Educate clients and families about Medicaid benefits, eligibility requirements, and coverage options to help them make informed decisions.
· Assist eligible clients with completing and submitting initial Medicaid benefit applications.
· Guide clients through the Medicaid renewal process by reviewing reauthorization reports and scheduling renewal appointments.
· Monitor application status and follow up with the Family Support Division to ensure timely processing of benefits.
· Coordinate with direct care staff to gather and verify documentation required for Medicaid applications and renewals.
· Ensure all required forms and documentation are submitted accurately and within required timelines.
· Regularly review Medicaid status for assigned clients and report lapsed or expiring coverage according to department procedures.
· Serve as a liaison between clients, internal staff, and the Family Support Division to address questions, resolve issues, and support continuity of coverage.
· Stay informed on Medicaid regulations, policies, and guidelines to maintain compliance with program requirements.
· Perform additional duties as assigned to support departmental operations and client services.

Education, Experience, and/or Credential Qualifications:
· High school diploma or equivalent required.
· Associate degree in social services, healthcare administration, or a related field preferred.
· Minimum of two (2) years of experience in benefits advocacy, Medicaid enrollment, healthcare access, or a related role.
· Experience supporting diverse populations in healthcare, social services, or community-based environments strongly preferred.

Additional Qualifications:
· Strong knowledge of Medicaid policies, procedures, and eligibility requirements.
· Excellent organizational skills with strong attention to detail and the ability to manage multiple priorities.
· Demonstrated empathy, patience, and professionalism when assisting individuals from vulnerable or underserved populations.
· Strong written and verbal communication skills with the ability to explain complex processes clearly.
· Customer-service mindset with effective problem-solving and critical thinking abilities.
· Ability to work independently while collaborating effectively with cross-functional teams.
· Proficiency with databases, electronic records systems, and Microsoft Office applications.
· Successful completion of background check including criminal record, driving record, abuse/neglect, and fingerprint screening.
· Valid driver’s license, acceptable driving record, and current auto insurance required.

Physical Requirements
· Perform primarily sedentary work involving sitting for extended periods with occasional standing or walking.
· Lift, carry, push, or pull objects weighing up to 10 pounds occasionally.
· Perform repetitive hand, finger, and arm movements such as typing or writing throughout the work shift.
· Maintain the ability to complete computer-based documentation and administrative tasks during the workday.

Position Perks & Benefits:

Paid time off: full-time employees receive an attractive time off package to balance your work and personal life

Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more

Top-notch training: initial, ongoing, comprehensive, and supportive

Career mobility: advancement opportunities/promoting from within

Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

Brightli is on a Mission:

A mission to improve client care, reduce the financial burden of community mental health centers by sharing resources, a mission to have a larger voice in advocacy to increase access to mental health and substance user care in our communities, and a mission to evolve the behavioral health industry to better meet the needs of our clients.

As a behavioral and community mental health provider, we prioritize fostering a culture of belonging and connection within our workforce. We encourage applications from individuals with varied backgrounds and experiences, as we believe that a rich tapestry of perspectives strengthens our mission. If you are passionate about empowering local communities and creating an environment where everyone feels valued and supported, we invite you to join our mission-driven organization dedicated to cultivating an authentic workplace.

We are an Equal Employment Opportunity Employer.

Preferred Family Health Care is a Smoke and Tobacco Free Workplace.