Patient Insurance Advocate-KS

$39,520 - $43,680/Yr

Healthfund Solutions - Shawnee, KS

posted about 2 months ago

Full-time - Entry Level
Hybrid - Shawnee, KS
Personal and Laundry Services

About the position

At HealthFund Solutions, we are dedicated to advocating for uninsured patients and partnering with hospitals and healthcare providers. With decades of experience in the healthcare field, we have identified a growing need to assist a significant portion of the American population that remains uninsured. Through various sponsorship programs, Medicaid screening, and premium monitoring, we empower patients to secure the coverage and care they need to regain their health and stability. The Patient Insurance Advocate plays a crucial role in this mission by enrolling patients in ACA Marketplace plans. This is an onsite position that requires the employee to report to their assigned hospital daily, Monday through Friday, from 7:00 AM to 3:30 PM CST. While the position may allow for temporary remote work until credentialing is completed, it typically requires in-person attendance. Additionally, the role may necessitate occasional work on weekends and holidays, particularly during peak times such as Open Enrollment, when overtime may be required. The advocate will be responsible for calling patients to screen them for financial and medical criteria, guiding them through the enrollment process, and assisting with any issues that may arise with the Marketplace and insurance companies. Staying informed about changes to ACA marketplace plans and policies is essential, as is performing bedside screenings when applicable. The advocate will also be tasked with daily follow-ups on assigned accounts, responding to emails and phone messages promptly, and documenting patient information within the Electronic Medical Record (EMR). Participation in required meetings and webinars, as well as providing necessary data for tracking conversions, will also be part of the job.

Responsibilities

  • Call patients and screen for financial and medical criteria
  • Enroll patients in ACA marketplace plans and obtain HFS documents for signatures
  • Provide guidance and support to patients throughout the enrollment process
  • Assist patients in resolving any case issues with the Marketplace and Insurance Companies if they arise
  • Stay up to date with changes to the ACA marketplace plans and policies
  • Perform bedside screenings, if applicable
  • Daily follow-up on all assigned accounts
  • Answer all emails and phone messages as soon as possible but within 24 hours
  • Enter all information into HealthFund and Hospital databases
  • Document and review patient information within the Electronic Medical Record (EMR)
  • Stay current on all new policies and procedures
  • Participate in any required meetings and webinars
  • Provide any required screening or enrollment data for tracking of conversions
  • Responsible for placing a high call volume for patient outreach
  • May require occasional evenings and weekends
  • Other duties as assigned

Requirements

  • High School Diploma required
  • College Degree or some college preferred
  • One (1) to two (2) years of related experience required
  • Knowledge of policy and procedures for ACA Marketplace Insurance preferred
  • Understanding of copay, co-insurance, and deductibles with commercial insurance preferred
  • Understanding qualifications of Medicaid and Disability preferred
  • Ability to communicate effectively verbally and in writing
  • Administrative and clerical procedures
  • Computer savvy
  • Ability to establish and maintain effective working relationships
  • Conflict resolution techniques
  • Attention to details
  • Work effectively with individuals from diverse backgrounds
  • Electronic Medical Record (EMR) or Electronic Health Record (EHR) software experience preferred
  • Required to complete hospital medical clearance and vaccinations upon hire and annually if applicable
  • Must have valid driver's license with clean driving record and active auto insurance

Nice-to-haves

  • Experience in a medical office setting
  • Experience with insurance verification
  • Experience with Marketplace enrollment
  • Customer service experience

Benefits

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