Patient Insurance Advocate-Fort Lauderdale

Posted 2025-03-14
Remote, USA Full-time Immediate Start

About the position

The Patient Insurance Advocate at HealthFund Solutions plays a crucial role in assisting uninsured patients by enrolling them in ACA Marketplace plans. This full-time position requires daily onsite presence at assigned hospitals, where the advocate will engage with patients to screen for eligibility, provide guidance throughout the enrollment process, and resolve any issues that may arise with insurance companies. The role demands effective communication, attention to detail, and the ability to work with diverse populations, all while staying updated on ACA policies and procedures.

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

Requirements
? High School Diploma required
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? College Degree or some college preferred
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? One (1) to two (2) years of related experience required
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? Knowledge of policy and procedures for ACA Marketplace Insurance preferred
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? Understanding of copay, co-insurance, and deductibles with commercial insurance preferred
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? Understanding qualifications of Medicaid and Disability preferred
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? Ability to communicate effectively verbally and in writing
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? Administrative and clerical procedures
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? Computer savvy
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? Ability to establish and maintain effective working relationships
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? Conflict resolution techniques
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? Attention to details
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? Work effectively with individuals from diverse backgrounds
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? Electronic Medical Record (EMR) or Electronic Health Record (EHR) software experience preferred
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? Required to complete hospital medical clearance and vaccinations upon hire and annually if applicable
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? Must have valid driver's license with clean driving record and active auto insurance

Nice-to-haves
? Experience in medical office
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? Experience in insurance verification
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? Experience in marketplace enrollment
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? Customer service experience

Benefits
? 401(k)
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? 401(k) matching
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? Dental insurance
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? Employee assistance program
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? Health insurance
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? Life insurance
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? Paid time off
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? Vision insurance

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