The Marketplace Enrollment Specialist is a member of the Enrollment & Financial Services and Outreach teams, responsible for screening/enrollment/advocacy and navigation of financial programs on behalf of patients, including, but not limited to OWCHC, State, Local and Federal programs, specifically the Health Insurance Marketplace. The Marketplace Enrollment Specialist will assist patients and community members with understanding and completing the enrollment process through the Health Insurance Marketplace exchanges.
The Marketplace Enrollment Specialist will also discuss treatment plans and costs with the patient and help create a payment plan that falls within the set policies of the billing office if necessary. The Marketplace Enrollment Specialist will work collaboratively with all office staff to ensure a well-executed financial plan is established for the patient.
Requirements
High school diploma required. Additional continued education preferred.
Certifications and Training
Ability to complete Medicaid training and agency orientation within the first 30 business days. Application Counselor Certification through the Health Insurance Marketplace required (if ability to complete within first 60 days).
Experience and Skills
Medical office experience - experience in a finance department or equivalent education in related field of study preferred. A foundational understanding of health care billing, reimbursement, insurance, and/or accounting practices, with willingness to learn new insurance exchange practices.
Key Responsibilities
Ability to work independently, organizing time but committed to the team function with minimal supervision. Possess high attention to details and organizational skills; the ability to establish and maintain appropriate filing systems for the retrieval of needed information.
Interpersonal and Communication Skills
Ability to build rapport with diverse populations and backgrounds; The ability to relate effectively to providers, patients, and representatives of third-party payers and the ability to work as a "team" member of the medical office staff. Ability to create innovative ideas and implement new ideas or processes. High comfort level with computer programs, word processing, data management, and medical charts, or willingness to learn. Competent in English and Spanish written and verbal.
Work Environment and Requirements
Reliable transportation, valid driver's license and insurance with good driving record. Flexible schedule (may work days, evenings, or weekends). Professional demeanor.