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ENROLLMENT SPECIALIST

Company: Seattle Indian Health Board
Location: Seattle
Posted on: January 12, 2021

Job Description:

The Enrollment Specialist position supports SIHB efforts to attract new relatives (patients) and enroll uninsured relatives (patients) with health insurance. Primary duties include critical thinking, problem solving, providing exceptional customer service, enrolling new relatives (patients) for services and insurance; and responding to requests for information, application assistance and follow-up. Verify and record relatives (patients) demographic and income information for sliding fee scale placement if appropriate. DUTIES & RESPONSIBILITIES* Conduct in-depth interviews with relatives (patients) to determine eligibility for services, insurance and financial assistance discount programs. * Interpret rules and regulations of insurance, offering fair, accurate and impartial options while explaining the rights and responsibilities of relatives (patients)* Assist in completing enrollment applications, gather required documentation, verify pertinent eligibility information. i.e., proof of patient's AI/AN identity as described in SIHB's Policies, family information, income, financial resources.* Serve as a patient representative helping to access health insurance programs through the health insurance marketplace (Washington HealthPlan Finder), Washington Apple Health, Medicare, Medicaid, and resolving issues that may arise during the enrollment process.* Assist and educate relatives (patients) as insurance options come available, identifying the affordable coverage that best meets their needs and offer assistance with annual renewal and open enrollment process.* Assist relatives (patients) with completing and processing applications for financial assistance discount programs. * Check insurance eligibility and scan Medicaid, Medicare, and private insurance cards. * Assist relatives (patients) with payments and answer questions regarding accounts/statements * Verify and update relative (patient) demographics, insurance coverage, health histories, and patient Notice of Privacy Practices * Attend and successfully complete all required training programs; participate in ongoing conference calls, webinars and other professional development opportunities. * Practices confidentiality and privacy protocols in accordance with clinical policies and HIPAA requirements. * Proactively identify resources, strategies, and initiatives to increase effectiveness of desired outcomes of relative insurance enrollment. * Actively participate in internal quality-improvement teams and work with members proactively to drive quality-improvement initiatives in accordance with the mission and strategic goals of the organization, federal/state/local laws and regulations, and accreditation standards. * Receive relative (patient) complaints, document, and respond in a professional and confidential manner.* Provide back-up coverage for Navigator and/or Community Relations Advocate as needed.* Perform other work-related duties as assigned.EDUCATION & EXPERIENCE* Bachelor's Degree with human service-related focus or an equivalent four years experience in health benefits or healthcare financial eligibility screening required.* WA Affordable Care Act Navigator certification.* Familiarity working with diverse communities including American Indian/Alaska Native (AI/AN) population and a desire to serve our population. * Experience or familiarity with the roles and responsibilities of a Tribal Assister specific to AI/AN patients.* Experience with practice management or other scheduling and registration software required.* Experience with insurance market, including government insurance and private insurance; ability to simplify and effectively explain how insurance works.* Demonstrated ability to navigate complex insurance choices and guide patients to options that best suit their needs, weighing financial outlay, spend considerations and long-term savings goals. QUALIFICATIONS* Exceptional interpersonal skills with the ability to develop relationships with patients and cross functional teams providing a positive experience.* Able to work independently as well as within a team environment.* Deep knowledge of Apple Health, Medicare, Medicaid, insurance resources.* Provide exemplary customer service at all times* Strong organizational skills and attention to detail. * Demonstrate proficiency with computer-based applications such as MS Office, Adobe, spreadsheets, email and other computer software programsWORK ENVIRONMENTNormal office environment. Most work involves sitting, standing, working at a computer, processing paperwork, scheduling appointments via phone and fax machine. Consistent interpersonal engagement with relatives and staff.

Keywords: Seattle Indian Health Board, Seattle , ENROLLMENT SPECIALIST, Other , Seattle, Washington

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