Insurance Advocate (ACA)
HealthFund Solutions
18 reviews
-
Tampa, FL
HealthFund Solutions
18 reviews
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Job details
Job Type
Full-time
Number of hires for this role
1
Qualifications
• • High school or equivalent (Required)
• US work authorization (Required)
• any other language in addition to English (Preferred)
Full Job Description Reporting to the Regional Manager, the Insurance Advocate will enroll, refer and/or assist patients in obtaining ACA Marketplace Insurance. The Benefit Advocate/Navigator will also assist patients in resolving any case issues with the Marketplace and Insurance Companies if they arise.
Responsibilities:
· Submit Marketplace applications, choosing insurance plans, securing pending documents, and HFS documents for signatures.
· Follow up on all assigned self-pay accounts (7 day, 14 day or 30 day follow-up depending on type of account -including delinquent accounts).
· Call self-pay patients and screen for Special Enrollment Period (SEP) in order to qualify for Marketplace insurance and during open enrollment.
· Answer all emails and phone messages as soon as possible but within 24 hours.
· Enter all information into HealthFund and Hospital databases.
· Stay current on all new policies and procedures.
· Participate in any required meetings and webinars.
· Provide any required reporting/invoicing data.
· May require some on site days at the local hospital.
· Other duties as assigned.
Qualifications & Skills:
· Knowledge in policy and procedures for ACA Marketplace Insurance will receive first consideration.
· Understanding of copay, co-insurance, and deductibles with commercial insurance is helpful.
· Understanding qualifications of Medicaid and Disability is helpful.
· Ability to communicate effectively in speaking and writing as needed
· Administrative and clerical procedures and systems such as word processing and data base systems, including other office procedures and terminology.
· Perform basic operations in Microsoft Office Suite.
· Ability to establish and maintain effective working relationships.
· Conflict resolution techniques.
· Attention to details.
· Work effectively with individuals from diverse backgrounds
Physical Abilities:
While performing the duties of this job
· 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.
Education:
· High School Diploma required.
· College Degree or some college preferred.
· Three years of related experience required.
Job Type: Full-time
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
Schedule:
• 8 hour shift
• Holidays
• Monday to Friday
COVID-19 considerations:
required to wear mask, continuously sanitizing work areas
Education:
• High school or equivalent (Required)
Experience:
• ACA or related: 3 years (Preferred)
Language:
• any other language in addition to English (Preferred)
This Job Is Ideal for Someone Who Is:
• Dependable -- more reliable than spontaneous
• People-oriented -- enjoys interacting with people and working on group projects
• Detail-oriented -- would rather focus on the details of work than the bigger picture
• Autonomous/Independent -- enjoys working with little direction
Company's website:
• https://healthfundsolutions.com/