"Alerted.org

Minimum Hiring Wage:

From $20.78 per hour

Job Details:

Scheduled Hours: Monday - Friday, 8:00am - 4:30pm

Job Description:

A Brief OverviewThe Outreach & Enrollment Coordinator facilitates insurance enrollment opportunities for community residents lacking access to healthcare coverage. This role provides education, application assistance, and follow-up for programs such as the Health Insurance Marketplace, Medicaid, and other health insurance options. The Coordinator works collaboratively with local organizations, financial counselors, and staff to develop and implement outreach initiatives, educate patients, and increase access to affordable health insurance coverage. The Coordinator supports staff training, stays informed on evolving insurance programs, and assists patients with financial assistance applications. Additionally, the Coordinator ensures compliance with the No Surprise Billing Act by coordinating and providing Good Faith Estimates for patients to provide transparency in healthcare costs.What you will do

+ Provide unbiased information and guidance to consumers about health insurance options and eligibility requirements, ensuring accurate and timely applications, including the marketplace, qualified health plans, Medicaid, and other health insurance programs.

+ Coordinate and provide Good Faith Estimates for patients in compliance with the No Surprise Billing Act, ensuring cost transparency and adherence to federal regulations.

+ Build and strengthen collaborations with local organizations and departments to enhance enrollment outreach initiatives.

+ Participate in all required training programs, conference calls, and webinars related to federal and state insurance programs.

+ Educate patients about health insurance options, including the Health Insurance Marketplace, Medicaid, and other federal and state programs.

+ Assist patients with completing applications and provide follow-up to ensure enrollment is finalized.

+ Educate eligible patients about the Presumptive Medicaid program and assist with enrollment and eligibility determinations.

+ Develop and implement outreach and enrollment initiatives in collaboration with the Manager and other staff.

+ Collaborate with the Denial Data Analyst to address insurance denials and educate clinics and staff on prevention and resolution strategies.

+ Coordinate education sessions for Financial Counselors on programs such as the Health Insurance Marketplace, Medicaid Modernization, and other insurance options.

+ Stay informed on federal, state, and commercial health coverage programs, ensuring accurate knowledge of eligibility qualifications and patient costs.

+ Assist Medicare-aged patients with enrollment into Medicare and supplemental insurance programs, in collaboration with SHIIP.

+ Educate clinic staff and other health system personnel about available assistance programs for patients and residents.

+ Work with the Contract Manager to understand and communicate details about federal and state programs, insurance contracts, and new insurance initiatives.

+ Screen patients for financial assistance eligibility, ensuring all necessary documentation is obtained and guidelines are met.

+ Maintain thorough knowledge of the revenue cycle and issues impacting patient financial responsibility.

+ Communicate effectively with patients, physicians, insurance companies, and other departments to resolve account-related inquiries.

+ Maintain a working knowledge of patient accounting systems

+ Collect payments, including co-pays and outstanding balances, and process them accurately.

+ Verify insurance benefits and eligibility to facilitate smooth billing and claims processing.

Qualifications

+ Bachelor’s Degree in Arts/Sciences (BA/BS) Degree or equivalent experience in related area Preferred

+ 1-3 years Healthcare experience in hospital or provider office Required

+ Extensive knowledge of and experience using Excel, Word, and Power Point Required

+ Customer service experience Required

+ Communication Skills: Excellent verbal and written communication skills, with the ability to interact professionally with patients, staff, and healthcare providers.

+ Customer Service: Proficient commitment to providing high-quality customer service and ensuring a positive patient experience.

+ Organizational Skills: Exceptional organizational and time management skills, with the ability to prioritize and handle multiple tasks in a fast-paced environment.

+ Attention to Detail: High level of accuracy and attention to detail when handling patient information.

+ Problem-Solving: Ability to identify and resolve conflicts and other issues efficiently.

+ Interpersonal Skills: Ability to work collaboratively as part of a healthcare team and maintain a professional and courteous demeanor.

+ Regulatory Knowledge: Familiarity with HIPAA regulations, No Surprise Billing Act, and other healthcare privacy and security requirements.

+ Insurance Knowledge: Understanding of insurance verification processes, good faith estimates, and prior authorizations.

+ Adaptability: Flexibility to adapt to changes in scheduling needs and department priorities.

+ Computer Proficiency: Competence with Microsoft Office Suite (Word, Excel, Outlook) and general computer skills.

+ Multitasking: Ability to manage a high volume of requests and administrative tasks simultaneously.

+ Emotional Intelligence: Demonstrated ability to handle sensitive and confidential information with discretion.

+ Work Ethic: Reliable, punctual, and committed to maintaining a high standard of work.

+ Technical Skills: Proficiency in using electronic medical record (EMR) systems and scheduling software.

Qualifications:

Certified Application Counselor for Marketplace, must obtain certification within 1 year of hire.

Benefits:

We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes:

+ Competitive base pay

+ Matching retirement programs

+ Health, Dental and Vision plans

+ Health Savings and Flexible Spending Accounts

+ Employee discounts including car rental, cell-phone plans

+ Employer-paid, Long-Term Disability, Life, and AD&D

+ Paid time off (PTO)

+ Education Assistance Program

+ Employee Assistance Program

+ Employee Referral Bonus Program

+ Discounted cafeteria meals

+ Paid Parental Leave

+ Employee Service Recognition program

+ Voluntary plans including: Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity

Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.