Patient Helper / Enrollment Coordinator - Gainesville, GA

Job Description

Patient Helper / Enrollment Coordinator

Northeast Georgia Medical Center, Gainesville GA

ChasmTeam is partnering with Patient Funding Alternatives - a growing national company, to build a team that provides real benefits to patients! We are seeking hard working, self starters who enjoy a challenge as we work together to help patients.

The Enrollment Coordinator is responsible for enrollment of eligible Hospital Patients into the Medicaid Health Insurance Premium Benefit Program (HIPP) at Northeast Georgia Medical Center (743 Spring Street, Gainesville, GA 30501). The Enrollment Coordinator is responsible for all aspects of clearly and persuasively presenting program requirements to interested patients and families as well as serving as a patient advocate. Our innovative program helps high cost and medically complex Medicaid patients afford the cost of employer-sponsored health insurance utilizing a State assisted benefit.

This position is also responsible for developing and maintaining relationships with patients, their family members, key hospital staff, and other business professionals. We are seeking dedicated, hard working individuals who have a passion to help patients as well as expand our rapidly growing company. Candidates must possess a "can do" attitude, have proven sales experience, understand the healthcare industry and have demonstrated grit and resiliency in prior roles.

This unique position has several facets:

Patient Engagement

Educate patients in a clear and concise manner about the Health Insurance Premium Payment Program (HIPP) as well as CHIPRA and how they could qualify.

Organize meetings with patients and their families at the hospital.

Assess each patient’s family dynamics and determine the best method to meet and educate the family on HIPP/CHIPRA.

Educate patients and their families on the benefits of participating in HIPP/CHIPRA, including financial and clinical support.

Successfully initiate case documentation by obtaining patient/family signatures for appropriate authorization and compiling required documentation.

Health Insurance Premium Payment Program (HIPP)

Determine if the patient can be enrolled in the employer’s health insurance plan directly or in the case of a child, as a dependent under a family plan.

Accurately and efficiently obtain all information required to apply to HIPP such as employer name, phone number and point of contact.

Facilitate the enrollment process by developing a strong working relationship with the hospital's professional staff (e.g. nurses, social workers, or patient advocates).

Using problem solving skills, implement solutions for all issues that arise to ensure accurate information is provided in a timely manner to HIPP.

Work with the internal PFA team to ensure that HIPP applications can be accurately completed

HIPP Maintenance and Coordination of Benefits

Explain to patient how the employer’s health insurance plan coordinates with Medicaid.

Confirm a patient’s ongoing HIPP eligibility following enrollment of the patient in HIPP and gather necessary information to maintain enrollment in HIPP.

If requested by client, assist in resolution of any issues concerning health insurance benefits.

Technology

Work with the PFA’s proprietary software system that manages patients in the hospital

Upload, scan, and fax/email internal and external forms

Utilize an Apple ipad & Apple I-phone for enrollment processing in locations including inpatient hospital rooms and clinic/physician offices.

Client Coordination

Create a positive patient/client relationship and serve as the onsite contact of PFA.

Develop and maintain relationships with patients, key hospital personnel and other appropriate individuals.

Maintain a current list of the names and contact information for key hospital personnel and determine whether staff changes have occurred and apprise supervisor of these changes.

Job Requirements

Bachelor's degree in Business, Marketing, Nursing, Education, or Psychology required. Master’s degree is preferred.

Preferred five years of internal patient-related, hospital experience.

Must be positive, enthusiastic, have a can-do attitude and enjoy working with a variety of people

Demonstrated history of success in sales and healthcare is strongly preferred.

Ability to speak English as well as Spanish is preferred.

Must pass hospital credentialing including all vaccines, drug & alcohol testing

Skills/Attributes

Energetic, ambitious, hard-working, able to handle different situations each day while working independently

Resilient; able to deal with sales rejection and still have a positive outlook

Exceptional oral and written communications skills and demonstrated ability to enthusiastically and persuasively present program materials to patients and their families

Demonstrated ability to effectively and efficiently collect and input information with attention to detail

Ability to show compassion to a marginalized population

Strong understanding of data security and patient confidentiality issues

Proven ability to quickly gain credibility, secure influence and partner with key constituencies (such as hospital administrators and patient advocates)

Tenacious ability to overcome obstacles and multitask to achieve success

Proven ability to maintain quality relationships with patients and their families and deescalate situations with empathy and understanding

Demonstrated ability to effectively advocate for the patient when encountering inquiries from the employer or its insurance broker

Exceptional interpersonal skills to form and maintain important relationships with key hospital personnel, staff of the state agency, and other persons as appropriate

Strong understanding of the healthcare industry, including Medicaid

Job Type: Full-time (40 hours per week) including medical, dental insurance and 401K Program

Salary: $50,000+/year based on experience plus $4,000+/year bonus potential

Full-time