Insurance Enrollment Specialist - Arsenal Avenue Location

at  Damien Center

PATIENT ACCESS TEAM

Damien Center Values
Dignity-Collaboration-Accountability-Equity-Quality-Innovation
Founded in 1987, Damien Center is Indiana’s oldest and largest AIDS service organization (ASO) and serves more than 8000 individuals living with or at risk for HIV through a comprehensive, innovative approach to care and prevention. Our purpose is to be a trusted partner in providing services, education and advocacy for all people living with or at risk for HIV and any person seeking a safe and welcoming home for care. Our services include care coordination, clinical and pharmacy services, mental health, housing, and nutrition.

POSITION SUMMARY:

The Insurance Enrollment Specialist (IES), in conjunction with other client facing team members, is responsible for helping clients enroll in and maintain active insurance and determine eligibility for other social programs including the Indiana Department of Health’s HIV Medical Services Program, Marion County Public Health Department Ryan White programs, and primary insurances such as Medicare, Medicaid, Marketplace, and private insurance. The Insurance Enrollment Specialist is responsible for maintaining updated information for all HIV clients living with HIV to ensure active insurance coverage and ensure that Ryan White is the payor of last resort.

EDUCATION AND/OR EXPERIENCE

• Bachelor’s degree preferred, but not required.
• Fluent in Spanish, preferred, but not required.
• 1-2 years of experience in patient financial counseling, insurance navigation, Ryan White case management, general case management, or similar experience required.
• Indiana Navigator license required or obtained within 90 days of hiring.
• Work or lived experience may substitute for education requirements on a case-by-case basis.
  Knowledge, Skills, and Abilities:
  Possess superior organizational and administrative skills. Excellent interpersonal and communication abilities. Excellent computer skills in a Microsoft Windows environment. Ability to work independently and achieve high standards of productivity, achieving deadlines and with superior product results. Strong calendaring, organizational, and document management skills required. Proactive approach to solving problems and communicating to leadership. Knowledge of office management systems, procedures, and office equipment required. Excellent time management skills and ability to prioritize work.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential job function satisfactorily. The requirements listed are representative of the basic knowledge, skills, and/or abilities required. Reasonable accommodations may be made for individuals with disabilities to perform the essential functions. The individual in this role must display the highest level of integrity and confidentiality. The individual should have effective communication skills, attention to detail and organization, and flexibility and adaptability. The individual will also maintain knowledge of trends in their area of responsibility.

DUTIES AND RESPONSIBILITIES:

This job description describes the general nature and level of work performed by employees assigned to this position. It should not be construed as an exhaustive list of all required duties, responsibilities, and skills.

• Conduct biannual assessments with clients based on intake, referral, and ongoing insurance needs.
• Maintain flexible availability for scheduled client appointments, general questions, Open Enrollment periods, and urgent insurance issues.
• Assist clients with applications for Medicare, Medicaid, employer or private insurance, Marketplace, as well as state and local-level coverages with IDOH and Marion County Public Health Department, also known as the Ryan White programs.
• Review and submit all applications to the HIV Medical Services Program or similar programs, with required supporting documentation based on needs reported from the applicant’s care team.
• Re-certify clients to maintain eligibility for the HIV Medical Services and Services-Only Program among similar programs, such as the Healthy Indiana Plan (HIP 2.0).
• Report changes in client status to the HIV Medical Services Program and other similar programs, including insurance carriers.
• Maintain Authorized Representative status with Family and Social Services Administration (FSSA).
• Act as a Financial Advocate and assist clients with navigating the available health insurance options.
• Return phone calls and email communication with clients within 24-48 business hours.
• Frequent communication with Case Managers to ensure deadlines and client recertification are achieved.
• Maintain client records and updates with necessary staff.
• Set appropriate deadlines and resolve client-reported issues in a timely manner.
• Performs special assignments and other work, on an as-needed basis.

The physical demands described here are general representations of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made for individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit, reach with hands and arms, talk, and hear. The employee frequently is required to use hands to touch and handle objects. The employee frequently stands or walks.
• The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made for individuals with disabilities to perform the essential functions. Remote work is on a case-by-case basis and must be approved by the supervisor.

• Office setting, with sustained use of a computer.
• The noise level in the work environment is minimal to moderate.
• Individuals should maintain personal and professional competency and work to create an environment of courtesy, respect, inclusion, and positivity in all interactions both internal and external to the organization