Job Description:
Southern Jersey Family Medical Centers, Inc. is seeking a talented
Insurance Enrollment Navigator to step into our culturally diverse and
fast-paced facility!
Summary: The Insurance Enrollment Navigator is
responsible for outreach, education and enrollment for currently
uninsured, underserved and hard-to-reach-patient populations and to
inform them and assist with the enrollment process through the ACA.
POSITION DUTIES/RESPONSIBILITIES:
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The Insurance Enrollment Navigator will provide outreach and
education will include information regarding the ACA as it relates
to the Marketplace.
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Responsible for End-to-end Assistance- Help with completing the
application and understanding eligibility rules, selecting a QHP
and understanding how to compare plans, enrolling in the QHP and
understanding the need to pay premiums, and resolving any
remaining issues such as needing providing documentation to
maintain eligibility or any enrollment issues with the health
insurance companies.
- Provide access to locations or mobile computing centers that will
facilitate access to the Get Covered New Jersey web portal, or the
Marketplace call center, or provide the ability to print and mail
hard copies of application and enrollment documents to the Marketplace
- Answers to eligibility and enrollment questions- Address questions
regarding access to any of the methods to apply for and enroll in
coverage and how to submit documentation needed to complete the
eligibility application and finalize enrollment
- Group Outreach- Outreach to consumers typically in group settings,
focusing on broad topics related to health insurance and coverage
options, including through partnerships with other community-based
organizations and/or community groups, and community leaders
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Contact patients and/or specialist as needed for missing reports.
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Update demographics pertaining to address and telephone number as needed.
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Provide patients with existing copies of lost or misplaced orders
upon request.
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Assist with compliance projects upon request.
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Routinely review provider patient panels supplied by the various
insurance plans to identify patients who have not presented for services.
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Assist patients and families in navigating the complex healthcare system.
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Attend all mandatory meetings and trainings.
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Other duties as assigned or as needed to support organizational goals
