Exchange Enrollment Facilitator

About the role

The Exchange Enrollment Facilitator provides education and enrollment assistance related to Nevada Medicaid and Nevada HealthLink to patients to ensure eligible patients receive insurance coverage.

Responsibilities

• Listen actively to patients’ needs and provide clear, concise information.
• Engage with visitors, patients, vendors, and coworkers professionally.
• Handle incoming calls promptly, professionally, and efficiently.
• Educate patients on how to use the Nevada HealthLink portal.
• Use the portal to enroll and reenroll patients in insurance.
• Train other staff on Medicaid and Medicare insurance issues.
• Complete outreach to patients whose insurance may be near lapsing and need renewal.
• Manage schedule to ensure patients are seen in a timely fashion to enroll and reenroll in insurance.
• Stay up to date on changes to Nevada Medicaid and Medicare.
• Maintain up-to-date knowledge of eligibility and insurance verification workflows and policies.
• Assist uninsured and underinsured patients in identifying financial assistance programs promptly.
• Participate in departmental meetings, trainings, workflow updates, and quality improvement activities.
• Ensure accuracy and confidentiality of paperwork, maintaining HIPAA and privacy standards.
• Communicate patient needs and updates via team chats.
• Send telephone encounters to appropriate team members to facilitate patient care.
• Document patient interactions and updates accurately in the EMR.
• Notify supervisor of any upcoming changes to policies at Nevada Medicaid and Medicare that may affect patient coverage or care.
• Manage challenging patient interactions using de-escalation techniques.

Requirements

• Ability to communicate effectively, both orally and in writing.
• Knowledge of health care insurance.

Qualifications

• Certification as an Exchange Enrollment Facilitator preferred.
• Spanish/English bilingual preferred.
• Thorough knowledge and experience of the health care industry preferred.
• Excellent interpersonal and organizational skills preferred.
• Ability to establish and maintain effective working relationships with a wide variety of people, including employees, patients, and the general public.
• Ability to read and understand written materials and compose information and instruction in written form.

About Us

At HOPES, we’re more than just a healthcare provider — we’re a team of changemakers dedicated to delivering affordable, high-quality medical, behavioral health, and support services to everyone in our community.

Benefits

• 100% employer-paid health insurance
• Life insurance options
• 3 weeks of PTO in your first year
• 12 paid holidays annually
• Paid Parental Leave (after 12 months)
• 24/7 Employee Assistance Program

Click HERE to view a full list of benefits

Additional Information

Due to real and potential conflicts of interest, HOPES employees may not access HOPES Behavioral Health Services. Current Behavioral Health patients/clients cannot be employed by HOPES. If you are receiving services from a HOPES Behavioral Health provider at the time you are offered employment, you must either rescind your acceptance of employment or find a new behavioral health provider outside of HOPES before starting employment.