Health Insurance Enrollment Specialist (LTE)

Website Vivent Health

Job Code: 2022-SOC-059
FT/PT Status: Social Services
Location: Milwaukee Clinic (WI)

Explore our careers page to learn more about the benefits we offer! https://viventhealth.org/get-involved/careers/

Check out our Youtube channel to learn more about Vivent Health! https://youtu.be/5bu5M6m-GhI

Videos to explore!

1) The Basics – HIV Prevention and Testing – https://www.youtube.com/watch?v=zc6SpQDuNa8
2) How is HIV Transmitted? – https://www.youtube.com/watch?v=z8BwYFlTAGY
3) HIV: Fight Back with HIV Treatment – https://www.youtube.com/watch?v=dhioUIYmv9Q&feature=youtu.be
4) HIV: Let’s Reset What We Know – https://www.youtube.com/watch?v=Pd_7I6M07k0&feature=youtu.be
5) HIV: The Goal of Undetectable – https://www.youtube.com/watch?v=mZ1bIphjxbw&t=17s

Position Purpose

The Insurance Enrollment Specialist (LTE) provides expertise on the Affordable Care Act (ACA), Medicaid/Badger Care and Medicare, and serves clients and patients by enrolling them in appropriate insurance plans. Successful insurance enrollment ensures that patients and clients living with HIV have uninterrupted access to vital health care and treatment. The Insurance Enrollment Specialist is part of a service team that includes Vivent Health Case Managers, Housing staff, Insurance Coordinator, Financial Counselor, as well as staff of the Vivent Health Medical Center and Pharmacy. The Insurance Enrollment Specialist is also a part of Vivent Health’s Medical Home, working to enroll eligible patients in Medicaid and Medical Home, in conjunction with the Care Coordinators.

The Insurance Enrollment Specialist is a limited term (temporary), full time position.

The start date for this position is late September and the position is expected to end in January 2023.

Scope of Responsibilities

Vivent Health is one of the nation’s largest providers of HIV prevention, care and treatment services with a budget approaching $225 million and employing over 450 professionals.

The unique, nationally recognized Vivent Health HIV Medical Home model of care assures that everyone with HIV has access to medical, dental, mental health and social services and provides the best opportunity for patients to achieve high quality health outcomes. Vivent Health also provides aggressive HIV prevention services to gay men, injection drug users and others at the highest risk for HIV infection.

Vivent Health currently operates in multiple states nationwide. It embraces a Market Culture to increase access to care, enhance quality outcomes and achieve and surpass financial performance expectations and has an aggressive plan to expand into additional states.

Position Responsibilities

Responsibilities include, but are not limited to the following:

  1. In collaboration with the Insurance Coordinator, outreach to identified patients and clients eligible for insurance through ACA, BadgerCare, or Medicare. This includes those uninsured and those needing to review their coverage. Utilize appropriate software programs (EPIC, Provide Enterprise). Seek out meetings and contacts with those affected to ensure coverage for vital, life-saving medical care.
  2. Assist patients and clients with enrollment in appropriate ACA and BadgerCare plans, as well as Medicare D, Medicare Supplemental and other relevant payors. This includes assistance with applications, obtaining income and insurance documents, and maintenance of coverage through educating clients on the importance of paying premiums, filing tax returns, and other required activities in coverage plans.
  3. Educate patients and clients on how the Affordable Care Act affects their insurance and benefit coverage and about the options available to them through ACA. Ensure that patients and clients understand the links between care coverage, adherence to care, and good health. Education will happen in individual client meetings in the Vivent Health Medical Centers during medical visits, at Vivent Health offices, at home visits, in community settings and in telephone calls.
  4. Collaborate with Social Services staff to ensure that patients and clients obtain appropriate and timely access to vital health care and social services that can benefit them, including medical care, dental care, mental health care, substance use treatment, legal services, housing services, food pantry services, financial assistance, transportation assistance, and holiday giving.
  5. Maintain appropriate client/patient files and timely documentation of services utilizing electronic case management and medical software such as Provide Enterprise and  EPIC.
  6. Contribute as an active member of the Social Services Department by participating in staff meetings, in-service trainings and workshops, and providing support, peer mentoring, and training to co-workers as needed.
  7. Maintain a strong working knowledge of the ACA and Medicaid/BadgerCare and its effect on clients of varying incomes, health status, medical coverage, and backgrounds.
  8. Maintain a working knowledge of HIV/AIDS, treatments, risk reduction, case management, and other related issues through self-study and participation in trainings, workshops, and in-services and in consultation with supervisor.
  9. Any other duties as assigned.

Required Qualifications

  • Minimum of one year of conducting health care outreach, eligibility, and enrollment experience.
  • Ability to establish and maintain effective public and working relationships with culturally diverse populations from a wide range of life circumstances and backgrounds.
  • Availability to work partially remote with access to a computer, printer and scanner.
  • Willingness to travel to other local Vivent Health offices.
  • Willingness to work evenings and weekends as needed.
  • Demonstrated effective written and verbal communication skills.
  • Ability to maintain effective organization and keep clear records.
  • Ability to prioritize and manage multiple tasks at once.
  • Valid Wisconsin Driver’s License, insurable driving record, and access to a reliable insured vehicle.
  • An Influenza vaccine is required of all new employees at the time of employment, and is required thereafter on an annual basis
  • A tuberculin/TB skin test is required of all new employees at the time of employment, and may be required thereafter on an annual basis, depending on position.
Preferred Qualifications

  • Computer skills that include at minimum a working knowledge of Windows and Microsoft Office. 
  • Associate or Bachelor’s Degree from an accredited college or university.
  • Knowledge of medical, mental health, and social service delivery systems.
  • Knowledge of HIV disease and related issues, disease progression, and treatment options
  • Working knowledge of Spanish language (bilingual).
*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions*

**Equal Employment Opportunity/Affirmative Action Employer* *

Vivent Health is an equal opportunity employer and will recruit, hire, promote and transfer qualified persons into all job classifications regardless of race, gender, religion, skin color, national origin or ancestry, physical disability (including pregnancy) or mental disability, age, gender identity, sexual orientation, legally protected medical condition, family care status, marital status, veteran status, genetic characteristics or any other characteristic protected by federal or state law. Vivent Health complies with other expanded protected classifications that may be mandated by specific county or municipal regulations. As a recipient of federal funding, Vivent Health will not hire nor enter into a contractual relationship with any party that is debarred, suspended, or excluded from federal assistance programs.

*Public Student Loan Forgiveness*

Employment at our organization may qualify you for federal student loan forgiveness programs. We do not directly pay for – nor forgive – federal student loans; however our status as a not-for-profit organization under Section 501 (c) (3), makes us an eligible employer. There may be other determining factors for one to qualify.

Please follow this URL to review one such program and their requirements:
https://studentaid.ed.gov/sa/repay-loans/forgiveness-cancellation/public-service

To apply for this job please visit hr.viventhealth.org.

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