Eligibility & Sponsorship Team Lead

HealthFund Solutions•Daytona Beach, FL

1d•Onsite

About The Position

The Eligibility/Sponsorship Team Lead supports the Eligibility Manager in carrying out HealthFund Solutions’ objectives 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. Salary is $25.00 per hour. Required overtime is specified during Open Enrollment.

Requirements

High school diploma required.
Three years of related experience required.
Ability to lead by example and provide support, guidance, and direction to staff.
Organizational skills.
Ability to maintain 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 necessary to perform the job effectively.
Effective, clear, and concise verbal and written communication skills.
Must successfully pass a national background check and a 12-panel drug screening.
Ability to walk for long periods, sit for long periods while entering computer data, occasionally lift up to 10 pounds, and concentrate and stay on task for long periods.

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 sponsorship delinquencies 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 current on 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.
In the Manager’s absence or as needed, review outstanding follow-ups and applications and review sponsorship requests for dedicated income support.
In the Manager’s absence or as needed, mail HCRA applications via certified mail.
In the Manager’s absence or as needed, report callouts, timecard corrections, and tardiness to the Regional Operations Manager.
Assist with patient refusals as requested, including communicating actions and updates to hospital leadership.
Perform other duties as required to meet the organization’s ongoing needs.