Patient Insurance Advocate-St. Petersburg

HealthFund Solutions LLC•Saint Petersburg, FL

2d•Hybrid

About The Position

The Insurance Advocate enrolls patients in ACA Marketplace plans. This is a Hybrid position located at your assigned hospital facility Monday through Friday 8:00am to 4:30pm. This position will work remotely Monday and Tuesday, alternate Wednesday's, and be on-site every Thursday and Friday. This position may require occasional weekends and holidays as needed. This position may be temporarily remote until you are credentialed. This position requires overtime during Open Enrollment and other times throughout the year.

Requirements

High School Diploma required
One (1) to two (2) years of related experience required
Knowledge of policy and procedures for ACA Marketplace Insurance preferred
Understanding of copay, co-insurance, and deductibles with commercial insurance preferred
Understanding qualifications of Medicaid and Disability preferred
Ability to communicate effectively verbally and in writing
Administrative and clerical procedures
Computer savvy
Ability to establish and maintain effective working relationships
Conflict resolution techniques
Attention to details
Work effectively with individuals from diverse backgrounds
Electronic Medical Record (EMR) or Electronic Health Record (EHR) software experience preferred
Required to complete hospital medical clearance and vaccinations upon hire and annually if applicable
Must have valid driver’s license with clean driving record and active auto insurance
Ability to sit for long periods of time entering data into the computer
Ability to occasionally lift up to 10 pounds
Ability to concentrate and stay on task for long periods of time

Nice To Haves

College Degree or some college preferred

Responsibilities

Call patients and screen for financial and medical criteria
Enroll patients in ACA marketplace plans and obtain HFS documents for signatures
Provide guidance and support to patients throughout the enrollment process
Assist patients in resolving any case issues with the Marketplace and Insurance Companies, as needed
Stay up to date with changes to the ACA marketplace plans and policies
Perform bedside screenings, if applicable
Daily follow-up on all assigned accounts
Answer all emails and phone messages as soon as possible but within 24 hours
Enter all information into HealthFund and Hospital databases
Document and review patient information within the Electronic Medical Record (EMR)
Stay current on all new policies and procedures
Maintain Certified Application Counselor certification, yearly
Acquire and maintain any state licensing certifications, as needed
Participate in any required meetings and webinars
Provide any required screening or enrollment data for tracking of conversions
Responsible for placing a high call volume for patient outreach
May require occasional evenings and weekends
Other duties as assigned