Healthcare Insurance Enrollment Specialist

3 hours ago


Newark, New Jersey, United States Saint James Health Inc Full time
Job Overview

At Saint James Health Inc, we are seeking a skilled Healthcare Insurance Enrollment Specialist to join our team. This role is responsible for providing eligibility and enrollment assistance for Medicaid, CHIP, and Federal Marketplace health insurance programs to patients of the health center and community residents.

Key Responsibilities:

  • Conduct outreach activities to educate patients and community residents about affordable insurance options and the Marketplace.
  • Maintain expertise in eligibility, enrollment, and program specifications, and conduct public education activities to raise awareness about the Marketplace.
  • Assist individuals with enrollment applications and understanding of eligibility for individual plans.
  • Stay up-to-date with regulatory guidelines and insurance plan eligibility, authorization, and system requirements.
  • Resolve any remaining issues, such as needing to provide documentation to maintain eligibility or enrollment issues with health insurance companies.
  • Collaborate with the Case Management team to create patient-centered communication to improve performance, reimbursement, and streamline processes.
  • Attend community outreach events, health fairs, and informational forums as required by the organization.
  • Assist in tracking enrollment metrics and patient payments.
  • Monitor and efficiently reconcile electronic work queues.
  • Provide support and assistance with financial reports, projects, and audits as required.
  • Act as a resource/point person for the registration and clinical support teams.
  • Perform all duties as assigned.

Requirements:

  • Exchange Enrollment Facilitator Certificate or complete training within 30 days.
  • 3+ years of Healthcare Insurance Enrollment experience preferred.
  • Strong attention to detail.
  • Efficient time management.
  • Excellent analytical and problem-solving skills.
  • Proficient Microsoft Office skills, especially with Excel.
  • Complete all related training and certifications.

Benefits:

  • 403B.
  • Health Insurance.
  • Dental Insurance.
  • Vision Insurance.
  • Paid time off.

Schedule:

  • Full-Time (5 days).
  • Rotating weekends.
  • Work locations are subject to change.


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