Insurance Enrollment Specialist

Heartland Community Health Center - Lawrence, KS

Full-time - Entry Level

Lawrence, KS

Ambulatory Health Care Services

About the position

The Insurance Enrollment Specialist (IES) is responsible for guiding individuals through the insurance enrollment process. The Insurance Enrollment Specialist will oversee and supervise the IE Community Health Workers (CHWs) in processing applications, collecting information, providing insurance eligibility education, and determining the patients' eligibility for insurance coverage and other enabling programs. The Insurance Enrollment Specialist will be skilled at assessing and screening patients for specific KS Medicaid, Medicare and Marketplace plans and programs. They will be able to make recommendations, help patients navigate the enrollment process and maintain meticulous records. An outstanding candidate will demonstrate exceptional communication skills and detail-oriented work. This role demands strong interpersonal skills, attention to detail, organization, and the ability to navigate complex information while providing excellent customer service. This role will also offer healthcare system education to help families know how to utilize their benefits and access Heartlands integrated services as well as other service providers. The Insurance Enrollment Specialist will also provide additional social service resources to improve their daily lives and mitigate barriers to care.

Responsibilities

• Assist individuals in understanding the enrollment requirements, procedures, and options available.
• Evaluate other unmet needs and work to connect patients with resources such as food pantries, employer assistance programs and utility assistance.
• Collect, review, and process enrollment applications, ensuring all necessary information is complete and accurate.
• Serve as a point of contact for inquiries, providing information via phone, email, or in-person meetings.
• Provide one-on-one and group education about health insurance along with how to access care.
• Stay updated on relevant regulations, policies, and compliance standards to ensure adherence to legal requirements throughout the enrollment process.
• Address issues that arise during enrollment, such as missing information, discrepancies, or technical problems.
• Maintain accurate records, generating reports, and tracking enrollment data.
• Collaborate with other departments to streamline processes and provide comprehensive support to enrollees.
• Participate in the development and implementation of strategies to enhance enrollment experience, streamline processes, and increase enrollment rates.

Requirements

• High school diploma or equivalent; bachelor's degree in a related field preferred.
• Experience in healthcare administration, insurance enrollment, or a related field preferred.
• Computer skills to navigate Electronic Health Record software; eCW experience preferred.
• Federally Qualified Health Center or public health experience preferred.

Benefits

• Full-time schedule with average 40 hours/week.
• Work indoors in environmentally controlled conditions.