Health Insurance Counselor

Provide the following information and assistance regarding health insurance and benefits to elder people, disabled Medicare beneficiaries, and their family, partners, and caregivers. Coordinates and facilitates the enrollment of patients to local, state and county programs.

Benefits

Free Medical, Dental & Vision

13 Paid Holidays + PTO

403 (B) retirement match

Life Insurance, EAP

Tuition Reimbursement

SEIU Union

Flexible Spending Account

Continued workforce development & training

Succession plans & growth within

Qualifications

Education and Experience

High School Diploma (required)

Certified Application Assistant (CAA Certificate)

Bilingual English/Spanish (Required)

Familiar with Medi-Cal, Covered CA

Two years CAA experience (Preferred)

EHR- Electronic Health Record (Required)

PMS- Practice Management System (Required)

Licensure/Certification

Employees are responsible for maintaining individual certifications as required by job function or by law and provide verification and recertification when requested by management.

Other

Maintains personal appearance when interacting with patients, staff, and physicians.

Must be able to cope in a “fast pace” environment.

Essential Duties And Responsibilities

Assists patients in completing applications and forms for private and Med-Cal, as well as other County or State health insurance programs.

Attends trainings for Medi-Cal updates, and all other applicable trainings as directed by supervisor.

Attends meetings as required for updates and as directed by supervisor.

Completes production reports, Med-Cal reports, Communication Sheets, PCP changes and tracking, and all other applicable reports.

Coordinates with all state and county programs in an efficient manner.

Creates positive and professional environment—in-person and telephonically, with patients, colleagues, and external relations.

Demonstrates understanding of SJCH policies and procedures.

Drafts positive and professional written communication/correspondence as necessary.

Educates patients about health insurance enrollment process and programs.

Electronic Health Record (EHR) inputting prescriptions and patient’s chart.

Handles Medi-Cal and other renewals on an annual basis (or as proscribed) to retain coverage.

Handles patients who do not qualify with care and empathy.

Keeps up with changes in programs as appropriate.

Practice Management System (PMS) Registration, Scheduling and Billing.

Processes applications and verifies eligibility during the patient visit.

Works with clinicians to identify and qualify patients for financial assistance programs.

Performs other duties as assigned.

St. John’s Community Health is an Equal Employment Opportunity Employer.

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