Insurance Advocate Monday through Friday

Reporting to the Regional Manager, the Insurance Advocate will enroll, refer and/or assist patients in obtaining ACA Marketplace Insurance. The Benefit Advocate/Navigator will also assist patients in resolving any case issues with the Marketplace and Insurance Companies if they arise. This is a temporary remote position until credentialed and COVID restrictions are lifted. Once available, employee will be required to report daily to their assigned facility. Monday through Friday 8:00am to 4:30pm. May require occasional weekends and holidays as needed.

Responsibilities:

· Submit Marketplace applications, choosing insurance plans, securing pending documents, and HFS documents for signatures.

· Follow up on all assigned self-pay accounts (7 day, 14 day or 30 day follow-up depending on type of account -including delinquent accounts).

· Call self-pay patients and screen for Special Enrollment Period (SEP) in order to qualify for Marketplace insurance and during open enrollment.

· Answer all emails and phone messages as soon as possible but within 24 hours.

· Enter all information into HealthFund and Hospital databases.

· Stay current on all new policies and procedures.

· Participate in any required meetings and webinars.

· Provide any required reporting/invoicing data.

· May require some on site days at the local hospital.

· Other duties as assigned.

Qualifications & Skills:

· Knowledge in policy and procedures for ACA Marketplace Insurance will receive first consideration.

· Understanding of copay, co-insurance, and deductibles with commercial insurance is helpful.

· Understanding qualifications of Medicaid and Disability is helpful.

· Ability to communicate effectively in speaking and writing as needed

· Administrative and clerical procedures and systems such as word processing and data base systems, including other office procedures and terminology.

· Perform basic operations in Microsoft Office Suite.

· Ability to establish and maintain effective working relationships.

· Conflict resolution techniques.

· Attention to details.

· Work effectively with individuals from diverse backgrounds

Physical Abilities:

While performing the duties of this job

· Ability to sit for long periods of time entering data into the computer.

· Ability to occasionally lift up to 10 pounds.

· Ability to concentrate and stay on task for long periods of time.

Education:

· High School Diploma required.

· College Degree or some college preferred.

· Three years of related experience required.

Job Type: Full-time

Pay: $16.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

COVID-19 considerations:
required to wear mask, continuously sanitizing work areas

Application Question(s):

• Please apply prior to completing the Snap Shot . Please copy and paste the link into a browser. You will be asked to register and complete the Snap Shot.

https://apps.outmatch.com/SurveyDelivery/Web/register?registrationId=YVZsfrTEAfU+HDV7YE0b8g==

• How many years of Customer Service or Call Canter experience do you have?
• With the upcoming Presidential Order mandating vaccinations and the fact that we are in the medical industry, will you be open to getting the COVID vaccination or submitting a weekly COVID results?

Education:

• High school or equivalent (Required)

Experience:

• Market Place or insurance: 3 years (Required)

Language:

• Spanish (Required)

Work Location:

• One location

Work Remotely:

• No