Insurance Enrollment Navigator

1 week ago


Lawrence, Kansas, United States Heartland Community Health Center Full time
Job Overview

The Insurance Enrollment Specialist plays a vital role in guiding individuals through the insurance enrollment process at Heartland Community Health Center. This position oversees and supervises Community Health Workers in processing applications, collecting information, providing insurance eligibility education, and determining patients' eligibility for insurance coverage and other enabling programs.

About the Role
  • This individual will be skilled at assessing and screening patients for specific KS Medicaid, Medicare, and Marketplace plans and programs.
  • They will make recommendations, help patients navigate the enrollment process, and maintain meticulous records.
  • The ideal candidate will possess exceptional communication skills and attention to detail, with the ability to provide excellent customer service in a high-stress environment.
Duties and Responsibilities
  1. Assist individuals in understanding enrollment requirements, procedures, and options available.
  2. Evaluate other unmet needs and connect patients with resources such as food pantries, employer assistance programs, and utility assistance.
  3. Collect, review, and process enrollment applications, ensuring all necessary information is complete and accurate.
  4. Serve as a point of contact for inquiries, providing information via phone, email, or in-person meetings.
  5. Provide one-on-one and group education about health insurance and access to care.
  6. Stay updated on relevant regulations, policies, and compliance standards.
  7. Maintain accurate records, generate reports, and track enrollment data.
  8. Collaborate with other departments to streamline processes and provide comprehensive support to enrollees.
  9. Participate in external meetings, trainings, and work groups to build effective relationships and partnerships.
Requirements
  • High school diploma or equivalent; bachelor's degree in a related field preferred.
  • Experience in healthcare administration, insurance enrollment, or a related field preferred.
  • Computer skills to navigate Electronic Health Record software; eCW experience preferred.
Working Conditions
  • This role requires movement throughout the building and may involve exposure to infections and contagious diseases.
  • This role is subject to interruptions and requires management of personnel and procedures in a high-stress environment.
Estimated Salary Range:

$21.00 - $27.00 per hour.



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