Enrollment Counselor

About the role

At Lone Star Circle of Care (LSCC) we strive for exceptional, equitable patient care that leads to healthier communities. Our Enrollment Counselors support individuals and families in obtaining health care coverage by facilitating enrollment in insurance programs through the federal Health Insurance Marketplace and other health care safety net programs, including Medicaid and CHIP.

This role is responsible for screening individuals and patients to determine eligibility for benefits and financial assistance, educating them on available coverage options, and guiding them in making informed decisions when selecting qualified health plans. The Enrollment Counselor provides face-to-face assistance throughout the application and enrollment process and conducts outreach activities to increase community awareness of insurance affordability programs, LSCC's program registration, and comprehensive primary care services. This position requires the ability to build and maintain professional relationships at all levels of the organization, deliver excellent customer service, and float to LSCC facilities as needed.

Responsibilities

• Provides non-biased information regarding available coverage options and benefits
• Fills out or helps to fill out appropriate application
• Verifies documents and information gathered telephonically by Program Advisors when patient presents for face-to-face appointments
• Receives scheduled and unscheduled calls through Patient Navigation Center and face-to-face encounters at clinical and other settings to conduct various Program Registration functions
• Performs program registration thoroughly to ensure highly accurate screening and enrollment outcomes for the federal Health Insurance Marketplace, health care safety net programs, and LSCC Sliding Fee Scale assignment
• Accurately identifies programs for which patient may be eligible
• Using VeritySource, Athena, and available insurance verification programs and other automated tools, maintains all patient documentation necessary to complete assignments and certify clients/patients in the appropriate programs
• Acquires and maintains knowledge and expertise in eligibility, enrollment, and program specifications of the federal Marketplace and other programs such as Medicaid and CHIP

Requirements

• High school diploma or GED

Qualifications

The following experience/skills are preferred:

• Associates degree
• Minimum of two (2) years of experience in program eligibility determination or related health and human services work
• Bilingual English/Spanish language skills

Skills

Some key factors that will make an individual successful in this role:

• The ability to problem solve
• Organizational skills
• Attention to detail
• Team player personality
• Time management

Benefits

• Competitive salary
• Medical, Dental, and Vision insurance
• LSCC paid Life insurance
• LSCC paid Short-Term and Long-Term Disability insurance
• Paid Time Off
• 403b Employee Retirement Plan