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Healthcare Enrollment Specialist

2 months ago

Anderson, Indiana, United States Meridian Health Full time
Meridian Health Services is a forward-thinking healthcare organization that prioritizes whole-person care. Our approach integrates physical, mental, and social well-being to help individuals achieve optimal health. We're seeking a skilled Enrollment Specialist to deliver unbiased information about health insurance plans to eligible recipients and facilitate enrollment into Medicaid programs and/or the Marketplace. This role requires travel up to 25% of the time to other locations in Henry and Madison County. Key Responsibilities:
  • Arrange appointments to assist clients and community members in completing Medicaid, SNAP, HIP, CHIP, and Marketplace applications.
  • Conduct public education activities to raise awareness about coverage options under Medicaid, CHIP, and the Marketplace; Help individuals understand and access affordable options.
  • Provide referrals to applicable offices of health insurance consumer assistance or ombudsmen to address consumer grievances, complaints, or questions about their health plan, coverage, or determinations.
  • Conduct enrollment activities at outreach events when necessary.
  • Demonstrate the capacity to conduct in-reach with currently uninsured health center patients and outreach to non-health center patients in their approved service area. Health center outreach and enrollment assisters will be required to help any patient or resident seeking outreach and enrollment assistance.
  • Educate consumers and assist with Medicaid re-determinations when requested.
  • Assist consumers with updating their insurance plans when they experience a life-changing event.
  • Assist clients through the appeal process. Help initiate the appeal request, print and provide updated medical records, and attend the appeal hearing.
We're looking for candidates with the following qualifications:
  • High school diploma or equivalent required; Associate's degree in Business or Human Services Related Field preferred
  • Eligible to become a Certified Indiana Navigator and Federal Certified Application Counselor within three months of employment required.
  • Continuing education requirements for both certifications required.
  • Previous work experience in a medical setting preferred.
  • Valid driver's license, a driving record meeting Meridian's requirements, reliable transportation, and proof of auto insurance.
  • Bilingual in Spanish and English.
Meridian Health Services offers:
  • Health, dental, vision plans
  • Merit-Based Compensation Plan
  • Voluntary benefits, including critical illness, short-term disability, etc.
  • 401k with company contribution
  • Generous PTO plan
  • Wellness plan
  • Paid Holidays
  • Life balance-oriented organization
Drug screen, TB test, extensive background check, and fingerprinting are required of all Meridian employees. Meridian Health Services recommends that all individuals who join Meridian have a flu shot and Covid vaccination to further protect our staff and the patients we serve. We also adhere to Covid-related protocol, including wearing masks, social distancing, and sanitizing. Meridian Health Services is an Equal Opportunity Employer (M/F/D/V) and also participates in E-Verify.