Enrollment Specialist

At least 1 year of experience and expertise in the medical field, including knowledge of medications, health coverage, and other medical benefitsMust complete MI-Bridges and MMAP training within 30 days of hireWilling to work a flexible schedule and travel to various locations throughout Genesee CountyEffective communication skills and ability to make presentations.Previous experience working collaboratively with physicians, health care providers and social service agencies.Proficient computer skills, including Word, and Microsoft Excel.Experience working with culturally diverse and senior populations.Demonstrated independent problem-solving ability.Valid driver's license and proof of automobile insurance.Education: Associates DegreeWhy Us:Genesee Health Plan (GHP) has a robust staff, with different backgrounds and talents that shine. We take great pride in the cultural diversity of the staff that make up GHP, each lending their personal life experiences to their roles. GHP has a competitive benefits package that includes health, dental, vision and life insurance, FSA, SIMPLE IRA, including Paid Time Off and paid holidays. We provide an environment where staff feel empowered to help those seeking our services. Our biggest compliment we receive from staff is that GHP feels "like family".
Job Description:Under the general supervision of the Director of Operations, this position will assist individuals with determining their eligibility for the Genesee Health Plan (GHP), Michigan Medicaid Programs, the Affordable Care Act (ACA) Insurance Marketplace, Michigan Medicare/Medicaid Assistance Program (MMAP) or GHP Dental Programs. If an individual is found eligible, the Enrollment Specialist will assist with education and enrollment into the appropriate insurance plan(s). The Enrollment Specialist will interact with Third Party Administrator or Delta Dental Customer Service and other Enrollment staff when questions or issues arise. This position may re-enroll GHP members who have been a past member for one year and still qualifies for the Plan, if the individual is not eligible for any other insurance program. If an individual does not qualify for GHP, this position will link the person to community resources, other safety-net providers and other health insurance coverage.Principal Duties and Responsibilities

• Assists the applicant with completing necessary electronic or paper forms and keeps accurate records of all documentation and enrollment forms, in accordance with federal, state and agency guidelines.
• If an individual is not deemed eligible for enrollment in the insurance Marketplace, provides assistance with linking to safety-net providers, other community resources, and other health insurance coverage through the GHP or the Michigan Medicaid Programs.
• If an individual is deemed eligible for GHP, or the GHP Dental Plan enrollment, is responsible for processing the enrollment application in the GHP electronic data management system.
• Expedites applications requiring immediate enrollment.
• Reviews the GHP Member Handbook with the enrollee, educating on the Plan's coverage and co-pays.
• Provides education to the community about the Health Plan.
• Re-enrolls former members, if deemed eligible.
• Participates in orientation, training sessions and staff meetings, as directed.
• Maintains confidentiality of member's health information, in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
• Coordinate service provision with Third Party Administrator and/or other benefit providers.About Us:Genesee Health Plan -(GHP) is Genesee County's plan for better health which began with the vision to have a community where each person has equal and affordable opportunity to live a healthy life. GHP is a nonprofit health care organization that was launched in 2001 to provide health care coverage and life-saving services to the uninsured residents of Genesee County. The plan has provided more than 90,000 county residents with doctor's visits, cancer screenings, prescription drugs, x-rays and many more life-saving services since 2001.Posted: 29 daysBenefits:
  • Healthcare
  • Dental
  • Vision
  • Education Assistance
  • Paid Vacation
  • Paid Holidays
  • Paid Sick Days
  • Flexible Spending Accounts (FSAs)
  • Life Insurance
  • Long-term Disability
  • Short-term Disability
  • Paid Jury Duty Leave
  • 403(b)PandoLogic. Keywords: Admissions Counselor, Location: Flint, MI - 48502

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