Impartially provides education about the availability of health insurance plans available to the recipient. Facilitates the enrollment process in the various health coverage programs offered by the HIE department. Provides information in a culturally and linguistically appropriate manner to the population being served by the HIE department.
JOB DUTIES
Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information.Provides fair and impartial enrollment services to recipients needing, desiring and inquiring about health coverage programs.Reviews and understands an applicant’s current medical diagnosis and history for determining appropriateness of program / insurance plan eligibilityAssures to remain impartial and avoid any conflict of interest that may arise out of the enrollment of a recipient in a health coverage program.Adheres to compliance with Indiana and Michigan Department of Insurance regulations for insurance sales and enrollment.Adheres to all Federal Center for Medicaid and Medicare Services (CMS) regulations governing health insurance sales and enrollment.Responsible for securing all necessary documentation and verifications for application / enrollment completion.Files applications with the appropriate federal, state, local or non-government agency and ensures timely follow through with the specific department, agency and/or carrier guidelines.Refers individuals who need help resolving a problem with their health plan or with their premium to a consumer assistance or ombudsman program or to another appropriate agency that can help with a grievance or appeal.Maintains all appropriate licensure and CEUs required for fulfilling their job duties.JOB SPECIFICATIONS AND CORE COMPETENCIES
Education:
Bachelors in Healthcare, Business and /or Behavioral Science or related Degree highly preferred.5-6 years Health insurance, Medicaid and Social Security Eligibility enrollment experience required.Licensure:
Must acquire Indiana and Michigan, Department of Insurance, Accident, Life & Health Insurance (ALH) License within 3 months of employment. Valid Indiana driver license and proof of valid automobile insurance.Experience:
Minimum of 1-2years experience in Health Insurance Sales, Medicaid Eligibility, Children’s Health Insurance Program.Knowledge of state and federal aid programs required. Prior on the job training in medical clerical skills helpful.Prior leadership or management skills preferred.Other Job Requirements:
Excellent verbal and written communication skills are required. Ability to handle conflict and confront challenging issues in a fast-paced work environment.Must provide own transportation and be able to travel and work at various locations.Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.