Patient Insurance Advocate- Orlando FLOAT

HealthFund SolutionsOrlando, FL
Onsite

About The Position

The Insurance Advocate enrolls patients in ACA Marketplace plans. This is an onsite position located at our corporate office in Orlando, Fl. that requires the employee to FLOAT onsite to their assigned hospital when needed, Monday through Friday 8:00am to 4:30pm. This position may require occasional weekends and holidays as needed. This position may be temporarily remote until you are credentialed. This position requires overtime during Open Enrollment and other times throughout the year.

Requirements

  • High School Diploma required
  • One (1) to two (2) years of related experience required
  • 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
  • Must have valid driver’s license with clean driving record and active auto insurance

Nice To Haves

  • College Degree or some college preferred
  • 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
  • Electronic Medical Record (EMR) or Electronic Health Record (EHR) software experience preferred

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, as needed
  • 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
  • Maintain Certified Application Counselor certification, yearly
  • Acquire and maintain any state licensing certifications, as needed
  • 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

Benefits

  • The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system.
  • Any candidate offered a position will be required to pass pre-employment screenings which include a national background check and a 12-panel drug screen.
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