Health Insurance Specialist - Bilingual

Job Description

Job Description

Job Title: Health Insurance Specialist - Bilingual

Reports To: Health Insurance Supervisor

Supervises: N/A

Status: Non-Exempt

Location: Access to Healthcare Network – Las Vegas

About Access to Healthcare Network (AHN)

Access to Healthcare Network (AHN) is a mission‑driven nonprofit dedicated to improving access to quality healthcare and supportive services. We foster a collaborative, respectful, and dynamic work environment where team members feel valued and supported. Joining AHN means contributing to meaningful work that positively impacts seniors, individuals with disabilities, and underserved community members.

JOB PURPOSE

The Ryan White Health Insurance Specialist assists Ryan White clients with health insurance enrollment, processing Nevada Medication Assistance Program (NMAP) referrals, insurance premium payments, and cost-share assistance for medical, dental, and vision services. This role works closely with clients, providers, and partner agencies to ensure access to healthcare coverage while maintaining compliance with Ryan White program requirements and AHN standards. The ideal candidate is organized, detail-oriented, and able to effectively manage multiple priorities in a fast-paced environment.

KEY RESPONSIBILITIES

• Screen and determine client eligibility for Ryan White and related healthcare programs, including Medicaid, Medicare, Nevada Check-Up, and the Premium Assistance Program.
• Assist clients with health insurance enrollment, renewals, and coverage maintenance while providing compassionate and respectful customer service.
• Process NMAP referrals, insurance premium payments, and cost-share assistance payments for eligible medical, dental, and vision services.
• Maintain accurate and timely client records in CAREWare, Salesforce, and other required systems.
• Determine appropriate payer sources and ensure all services and payments comply with program requirements and guidelines.
• Build and maintain positive working relationships with clients, healthcare providers, partner agencies, and funding organizations.
• Prepare reports, maintain documentation, and ensure data integrity and confidentiality.
• Communicate complex program information clearly and effectively to clients and stakeholders.
• Attend and actively participate in staff meetings, trainings, and routine meetings with direct supervisors.
• Adapt to changing priorities and perform additional duties as assigned.

EDUCATION & EXPERIENCE REQUIRED

• Bilingual (Spanish/English) required.
• High School Diploma required; AA Degree preferred.
• Minimum 1 year of experience in health insurance, sales, and health insurance specialist experience preferred.
• Minimum 3 years of computer experience including Microsoft operating systems, word processing, spreadsheets, database input, and report generation.
• Ability to obtain an Exchange Enrollment Facilitator (EEF) License within 90 days (agency-funded).
• Community Health Worker (CHW) Certification (to be obtained within 1 year; agency-funded).
• Demonstrated experience in planning and execution of organizational communication.
• General knowledge of health insurance programs, AHN services, and standard administrative practices.
• Flexibility to accommodate department-determined work schedules, which may change based on operational needs.
• Must adhere to HIPAA regulations.

WORK ENVIRONMENT

• The noise level in the work environment is usually moderate, and the employee usually works in a climate-controlled office environment.
• Be able to sit at a computer for 6 – 8 hours per day.
• Be able to stand between 3 – 6 hours per day.
• Be able to withstand hand/wrist deviation and repetition.
• Must be able to lift, carry up to 30 pounds with a fair consistency.

The statements herein are intended to describe the general nature and level of the position, but are not necessarily a complete list of responsibilities, duties and skills required of employee(s) so classified. As such, responsibilities, duties, and required skills may be changed, expanded, reduced, or deleted to meet the business needs of Access to Healthcare Network. Furthermore, they do not establish a contract or implied contract for employment.

FUNDING CLAUSE

This position is funded through external grant sources. Continued employment is contingent upon the ongoing availability of this funding. If funding is reduced or discontinued, the position may be changed or eliminated.

As an equal opportunity employer, we are committed to identifying and developing the skills and leadership of people from diverse backgrounds. We encourage all qualified candidates to apply.

Benefits:

• Medical Insurance & Vision provided at no cost to the Employee
• Health Savings Account HDHP (HSA) includes employer matching $35.00 per month
• Dependent Care Flexible Savings Account (FSA)
• Low-cost health insurance options for your dependents
• Dental insurance
• Free Life Insurance and Long-Term Disability
• Voluntary Ancillary Benefits
• WFH Options
• 4 Weeks Paid Time off in your first year
• 14 Holidays
• Bereavement Leave
• 4 weeks Paid parental leave
• Tuition Assistance and more!

Required to pass a background check through the State of Nevada