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Job Description
Within the Creighton University School of Dentistry the Health Insurance Enrollment Specialist will play a key role in screening enrolling advocating and navigating different financial programs on behalf of patients including but not limited to internal programs at the School of Dentistry State Local and Federal programs and particularly the Health Insurance Marketplace Exchanges by assisting uninsured patients about their options in the health insurance marketplace; help determine their eligibility for Medicaid and assist them with the application process. The Health Insurance Enrollment Specialist will also discuss treatment plans and costs with the patient and help create a payment plan that falls within the set policies of the billing office if necessary. Moreover The Health Insurance Enrollment Specialist will work collaboratively with all office staff to establish a well-executed financial plan for the patient.
This is a Grant Funded Position.
- At all times employees are expected to uphold Creightons core values and demonstrate commitment to valuing diversity and contributing to an inclusive working and learning environment while adhering to all University Ethical Standards of Conduct rules regulations and job requirements including required educational training.
- Patient outreach and education on health insurance and financial aid opportunities (internal financial programs Medicaid Marketplace etc.).
- Track eligibility status for the determined program complete renewal process and provide advocacy with appropriate documentation in Axium and Outreach Database.
- Manage and maintain a caseload of patients make and coordinate referrals and follow-up appointments following program-specific guidelines
- Maintains accurate record keeping in both patient charts and clinic administrative tools.
- Work with the billing department and patients throughout the revenue cycle (adjustments payments corrections etc.).
- Stay up to date on all changes or adjustments in coding and billing procedures.
- Review monthly statements for accuracy and mail or electronically submit them with appropriate notes following the preset policy for statements.
- Attend workshops meetings and/or in-services.
- Other tasks as assigned.
Qualifications:
- Bachelors Degree
- A degree in Healthcare Administration Business or a related field or equivalent work experience is preferred but not required.
Knowledge Skills and Abilities:
- Previous experience working with Nebraska Medicaid is preferred.
- Medical office experience experience in a finance department or equivalent education in a related field of study preferred.
- Excellent organizational skills.
- A foundational understanding of health care billing reimbursement insurance and/or accounting practices with a willingness to learn new insurance exchange practices.
- Ability to work independently but committed to the team function with minimal supervision.
- Possess high attention to detail and organizational skills; the ability to establish and maintain an appropriate filing system for retrieving needed information.
- Ability to build rapport with diverse populations and backgrounds;
- The ability to relate effectively to providers patients and representatives of third-party payers and the ability to work as a team member of the medical office staff.
- Ability to create innovative ideas and implement new ideas or processes.
- High comfort level with computer programs word processing data management medical charts or willingness to learn.
- Competent in English and Spanish written and verbal preferred
- Demonstrate strong written communication verbal presentation and public speaking skills.
Licenses/Certifications:
- Previous training or the ability to complete Medicaid training and agency orientation within the first 30 business days
- Counselor Certification through the Health Insurance Marketplace required or ability to complete it within the first 60 days.
Employment Type
Full Time
