Eligibility & Sponsorship Team Lead

HealthFund Solutions LLC•Daytona Beach, FL

1d•Onsite

About The Position

The Eligibility/Sponsorship Team Lead supports the Eligibility Manager in carrying out HealthFund Solutions’ objectives and goals through daily operations. In the Manager’s absence, the Team Lead plans, directs, and coordinates Eligibility staff operations, including overseeing caseworkers, communicating with HealthFund Solutions management, and interacting with hospital staff and administration. The position is onsite at a hospital facility in Daytona Beach, Florida, with a Monday–Friday schedule from 8:00 a.m. to 4:30 p.m. Overtime is required during Open Enrollment. The employee may be asked to perform other duties as needed to meet organizational needs. Candidates must successfully pass a national background check and a 12-panel drug screening. HealthFund Solutions is a drug-free workplace and an equal opportunity employer.

Requirements

High school diploma required.
Three years of related experience required.
Ability to lead by example and provide staff with support, guidance, and direction.
Organizational skills.
Ability to maintain and respect confidentiality, protect PHI, and adhere to HIPAA guidelines.
Ability to read, comprehend, and implement instructions and policies.
Ability to work independently and effectively as a team member.
Flexibility to adjust quickly to shifting priorities and remain focused during stressful or difficult situations.
Computer skills required to perform the job effectively.
Effective, clear, and concise verbal and written communication skills.
Ability to walk for long periods and sit for long periods while entering data into a computer.
Ability to occasionally lift up to 10 pounds.
Ability to concentrate and stay on task for long periods.
Successful completion of a national background check and 12-panel drug screening.

Nice To Haves

College degree or some college preferred.

Responsibilities

Distribute the daily census.
Review applications for submission to case resolution specialists.
Review sponsorship delinquencies for patient contact and approve them for dedicated income support.
Maintain minutes for weekly team meetings and maintain the HCRA application log.
Respond to and timely distribute direct referrals from the Halifax email.
Review Medicaid approvals daily and add them to the EQ Authorization log.
Request supplies.
Assist onsite with screening or submitting applications as needed.
Review and shadow new hires after training.
Assist with Marketplace escalations.
Assist management at month-end to ensure all applications are submitted.
Maintain CAC certification yearly.
Stay up to date with changes to ACA Marketplace plans and policies, including attending webinars.
Attend meetings on camera, unmuted, and ready to participate.
In the Manager’s absence or as needed, attend weekly in-house, LOS, and Tumor Board meetings; review outstanding follow-ups and applications; review sponsorship requests for dedicated income support; mail HCRA applications via certified mail; report callouts, timecard corrections, and tardiness to the Regional Operations Manager; and assist with patient refusals as requested, including communicating actions and updates to hospital leadership.
Perform other duties as required to meet the ongoing needs of the organization.