Insurance Coordinator

We’re on a mission to end HIV/AIDS through integrated, personalized, judgment-free care. That means meeting people where they are and supporting the whole person - medically, socially, and emotionally. And everyrole here plays a part in that mission. We believe healthcare works best when it’s rooted in equity, dignity, and access for all. At Vivent Health, we’re building a culture where every person - both patients and employees - feels seen, respected, and empowered to thrive. But what truly sets us apart is how we work. You’ll be part of a deeply collaborative, interdisciplinary team united around one goal: better outcomes for the communities we serve. Our model brings together medical care, behavioral health, pharmacy, research, and prevention, creating a holistic approach that changes lives every day. This isn’t just a workplace. It’s a community. It’s a mission. It’s your chance to be part of something bigger. Choose Vivent Health and turn your work into purpose.

YOUR CONTRIBUTION:

Deliver Excellence. Oversee with Integrity. Drive Progress. Exceed Expectations. The Insurance Coordinator provides a range of intensive, client-centered services to persons with HIV/AIDS. The primary role of the Insurance Coordinator is to ensure access to pay sources for health care through public benefits, private insurance, Marketplace Plans or other sources. This includes education, advocacy and assistance to clients and education of Social Services staff on insurance and benefit plan eligibility, changes and enrollment procedures. Other key roles include retention in health care and addressing medical, psychosocial, and other issues that present barriers to care through referrals to case management and to other needed services.

OUR EXPECTATIONS:

Winning skills and behaviors for success Coordinate efforts to identify uninsured, and insurable, patients and clients statewide with the intent to connect them to a pay source for care, with the primary goal of adherence to HIV and primary medical care. Gather information on the uninsured through Provide Enterprise, EPIC and QS1.Working with the Director, assign appropriate case management staff to follow up with the uninsured, including assignment to the Insurance Coordinator forarea clients and patients without a Case Manager. Devote efforts during open enrollment periods for the Marketplace Insurance plans to reachclients and patients not only believed to be uninsured and eligible of Marketplace coverage, but also those who could benefit from a change in Marketplace plans. Lead access to the Affordable Care Act (ACA) in the agency by directing the process annually, developing and maintaining policies and procedures, identifying strategies for enrollment, and ensuring statewide involvement. The Insurance Coordinator will maintain a strong working knowledge of the ACA through training for Certified Application Counselors (CACs), attendance at relevant conferences and workshops, online reading, list-serves, and other available resources. Educate case management and housing staff statewide on benefit and insurance issues. Provide “benefits and insurance 101” training to newly hired case management staff. Provide ongoing educational workshops to statewide case management staff to ensure they are current on changes and updates in benefit and insurance programs. Act as a resource for staff navigating complex benefit and insurance issues with clients. Directly assist uninsured patients with enrollment in medical care pay sources according to their income, residency and other eligibility factors, including programs available through the state(Medicaid, SSI, SSDI) and the Insurance Marketplace. Educate clients and patients on insurance plan options that are in‑network at key healthcare systems where they obtain care. Assist clients and patients statewide with obtaining pay sources for care through client and patient workshops on benefits and insurance, offering appointment days for enrollment on‑site at the four Medical Centers and two Pharmacies, and helping with mailings to clients about these issues. Educate and enroll eligible patients in the Vivent Health HIV Medical Home during provision of insurance and benefit enrollment activities. Ensure that that EPIC touches are accomplished for enrollment patients accessing assistance from the Insurance Coordinator. Work with the Clinic Case Managers to optimize access to care by persons with HIV infection and to provide necessary education, support, referral and guidance so that patients can more readily improve their health status. Help monitor insurance and benefit policy and government level changes to ensure that Vivent Health is on the forefront of insurance issues impacting client and patients. Collaborate with VP of Government and Public Relations by communicating about policy changes that could have an effect on clients and patients and assist with macro level advocacy, as applicable. Contribute as an active member of the Social Services department by participating in staff meetings, team meetings, client staffing meetings (when appropriate), in-service and training events; department planning activities, assisting in special projects, and providing support or peer mentoring as appropriate. Inform clients of the services available through Vivent Health and in the community and refer and link clients to them as appropriate. When needed, provide support to Case Management functions by assisting with provision of support services such as support groups, food pantry, housing assistance, school supplies, holiday gifts, volunteer services, transportation assistance, and financial assistance #J-18808-Ljbffr Vivent Health