Healthcare Enrollment Specialist

Brightli • Franklin, IN

11d

About The Position

Job Summary: Incumbent helps clients apply for state or federal benefits, including Medicaid enrollment and appeals. Provides administrative support and client transportation as needed. Essential Job Functions: Completes intake paperwork, payment responsibility assessments, and record-keeping. Transports clients to Medicaid-related appointments. Travels to office sites as needed to support clients. Completes administrative duties such as verifying insurance, registering/updating client information, and assisting with front-office tasks. Acts as a liaison for clients with Medicaid and other social services. Handles appeals and court interactions when necessary. Stores state/federal documents for clients. Works with EHR, filing systems, and insurance verification software. Tracks monthly statistics of services provided. Ensures accuracy in scheduling and front-office support. Other duties as assigned. Knowledge, Skills, and Abilities: Experience using: Office 365 Excel and Word, fax machine, copier, scanner, and postage meter. Knowledge and competencies with harm reduction, motivational interviewing and relevant treatment modalities being used in the field. Knowledge of culture and values in the local community. Demonstrate a welcoming approach to all individuals. Ability to give full attention to what other people are saying, taking time to understand the points being. Ability to communicate information and ideas in speaking so others will understand. Good verbal and written communication skills. Requires good attendance, punctuality, and proper use of timekeeping system. Detail oriented. Adheres to policies and process updates. Complies with HIPAA and confidentiality requirements. Experience and Education Qualifications: Navigator license required within two months of employment Complete two CEUs per year to maintain licensure. High school diploma or GED required. Three (3) years of experience working in community health, human services outreach and/or healthcare preferred. Proactively Stay current on state and federal benefits changes or additions Desirable experience includes: multi-tasking, problem-solving, professionalism, high attention to detail, confidentiality, initiative, organization, reliability, and ability to handle high-stress environments, receptive to coaching. Supervisory Requirements: None. Employment Requirements: Successful completion of background check including criminal record, driving record, abuse/neglect. Completion of New Hire Orientation at the beginning of employment. All training requirements including Relias at the beginning of employment and annually thereafter. Current driver’s license, acceptable driving record and current auto insurance. Adhere to conflict of interest standards. Provide special accommodations to patients needing access to healthcare. Uphold Marketplace privacy and security standards. Must provide evidence that incumbent is free of infectious and contagious disease prior to beginning employment and annually thereafter. TB– Expected for all direct care team members. Mandatory for Kansas Residential staff. Annual Health Assessment- Mandatory Kansas Youth Residential team members. Physical Requirements: The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the associate is frequently required to sit and stand for extended periods (2-4 hours); walking may be required for short periods when conducting field-based activities. They must frequently use hands and fingers to write, type, operate a mouse, file documents, and otherwise handle documents. They must occasionally lift and/or move up to 50 pounds.

Requirements

• Experience using: Office 365 Excel and Word, fax machine, copier, scanner, and postage meter.
• Knowledge and competencies with harm reduction, motivational interviewing and relevant treatment modalities being used in the field.
• Knowledge of culture and values in the local community.
• Demonstrate a welcoming approach to all individuals.
• Ability to give full attention to what other people are saying, taking time to understand the points being.
• Ability to communicate information and ideas in speaking so others will understand.
• Good verbal and written communication skills.
• Requires good attendance, punctuality, and proper use of timekeeping system.
• Detail oriented.
• Adheres to policies and process updates.
• Complies with HIPAA and confidentiality requirements.
• Navigator license required within two months of employment
• Complete two CEUs per year to maintain licensure.
• High school diploma or GED required.
• Three (3) years of experience working in community health, human services outreach and/or healthcare preferred.
• Proactively Stay current on state and federal benefits changes or additions
• Successful completion of background check including criminal record, driving record, abuse/neglect.
• Completion of New Hire Orientation at the beginning of employment.
• All training requirements including Relias at the beginning of employment and annually thereafter.
• Current driver’s license, acceptable driving record and current auto insurance.
• Adhere to conflict of interest standards.
• Provide special accommodations to patients needing access to healthcare.
• Uphold Marketplace privacy and security standards.
• Must provide evidence that incumbent is free of infectious and contagious disease prior to beginning employment and annually thereafter.
• TB– Expected for all direct care team members. Mandatory for Kansas Residential staff.
• Annual Health Assessment- Mandatory Kansas Youth Residential team members.

Nice To Haves

• multi-tasking
• problem-solving
• professionalism
• high attention to detail
• confidentiality
• initiative
• organization
• reliability
• ability to handle high-stress environments
• receptive to coaching

Responsibilities

• Completes intake paperwork, payment responsibility assessments, and record-keeping.
• Transports clients to Medicaid-related appointments.
• Travels to office sites as needed to support clients.
• Completes administrative duties such as verifying insurance, registering/updating client information, and assisting with front-office tasks.
• Acts as a liaison for clients with Medicaid and other social services.
• Handles appeals and court interactions when necessary.
• Stores state/federal documents for clients.
• Works with EHR, filing systems, and insurance verification software.
• Tracks monthly statistics of services provided.
• Ensures accuracy in scheduling and front-office support.
• Other duties as assigned.

Benefits

• Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
• Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
• Top-notch training: initial, ongoing, comprehensive, and supportive
• Career mobility: advancement opportunities/promoting from within
• Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED