Patient Insurance Advocate-AL.

HealthFund Solutions LLC-posted about 8 hours ago
Full-time • Entry Level
Onsite • Birmingham, AL
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At HealthFund Solutions, we are an advocate for uninsured patients and a partner to hospitals and healthcare providers. With decades of experience in the healthcare field, we observed a rising need to help a percentage of the American population that continues to grow every day—those living without health insurance. Through sponsorship programs, Medicaid screening and premium monitoring, we empower patients to get the coverage and care they need and get back on their feet. The Insurance Advocate enrolls patients in ACA Marketplace plans. This is an onsite position that requires the employee to report onsite to their assigned hospital daily, Monday through Friday 7:00am to 3:30pm CST. 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.

  • 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
  • High School Diploma required
  • 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
  • Ability to sit for long periods of time entering data into the computer
  • Ability to occasionally lift up to 10 pounds
  • Ability to concentrate and stay on task for long periods of time
  • College Degree or some college preferred
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