EES Insurance Lead Specialist

JOB SUMMARY

The Insurance Specialist Lead supports the daily functions of the Health Insurance Premium Payment (HIPP) program team members such as; assisting with identifying potential candidates, assistance with enrollment, working closely with family and the agency through the enrollment process; identifying sources for payment, documenting accounting system including progress notes and all required activities to ensure accurate reporting and following the case through the approval process. This individual will work closely with the EES onsite Supervisor and Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Responsible for providing lead support to Supervisors and Managers. Assists leadership with the auditing inventory and reviewing for documentation, accuracy and appropriate follow up. Provides feedback to team and management.
• Provides daily support to team such as; Acts as a mentor and trainer for new hires on policies and procedures of the department, facility protocol and different State guidelines for program eligibility; Works with existing team members on assigned inventory and assists with complicated cases; Provides assistance in managing escalated issues as needed.
• Provides cross coverage for assigned market facilities when Ins Spec is out. Cross coverage could include screening patients, completing required documents for program, documentation.
• Responsible for monitoring daily activity of team and completion of reports. Assists leadership with analysis of various monthly reports (i.e.: Mont-end data, cash report, reconciliation of inventory, weekly client reporting etc.)
• Works closely with management team to continue the development of the program. Participates in special projects.

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Advanced skills with Windows, Microsoft Outlook, Excel and Word programs
• Complex Decision Making Skills
• Ability to work independently
• Ability to lead a team, coach, mentor, train, develop
• Working familiarity with the rules and regulations pertaining to Federal, State and County programs
• Excellent oral and written communication skills, as well as the clear understanding of the English language
• Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms
• Ability to prioritize and manage multiple tasks with efficiency
• Valid Drivers License and auto insurance

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• High School Diploma or equivalent
• Minimum 4 years of work experience in the medical field
• Knowledge of Medical terminology

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to work in sitting position, use computer and answer telephone
• Ability to travel
• Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office or Hospital Work Environment

TRAVEL

• Approximately 10% travel may be required

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!