HIV Insurance Benefits Navigator

About the role

Primary Health Care (PHC) was founded in 1981 by Dr. Bery Engebretsen in Des Moines, IA. Our mission is to provide healthcare and supportive services to all, regardless of insurance, immigration status, or ability to pay. PHC offers a variety of medical and dental services, including family practice, behavioral health, HIV care, and pharmacy. Our Homeless Support Services act as the entry point for serving people experiencing homelessness in Polk County, offering enabling services such as benefits enrollment, case management, translation, and patient education.

Responsibilities

• Collaborate with Iowa Health and Human Services' Ryan White Part B program, including the AIDS Drug Assistance Program (BDAP), to ensure relevant goals and objectives are successfully obtained.
• Serve as a liaison between Iowa HHS and PHC to facilitate the selection of health insurance coverage in response to health care reform.
• Engage with a minimum of 10 assigned case management clients to identify financial needs and promote access to community resources by making referrals to entitlement programs.
• Work with Case Managers to assess clients' insurance needs and develop a plan for the best health coverage option based on the client's situation.
• Provide case consultations and ongoing education to an interdisciplinary team, assist clients in applying for health benefits, and process health benefit applications.
• Ensure continuity of health coverage and other benefits for uninsured or underinsured clients identified by Case Managers.
• Identify and address patient barriers to ensure continuity of health coverage and other benefits.
• Maintain up-to-date knowledge of current health benefit options and assist patients and staff with health benefit questions.
• Participate in staff and performance improvement meetings and training as requested.
• Avoid chart audits as requested by the Program Director.

Qualifications

• Required: Bachelor’s degree or an equivalent combination of education and experience, minimum of 2 years’ work experience with public and/or private insurance benefit coordination, experience with and working knowledge of third-party payers and associated regulations, effective verbal and written communication skills, strong analytical and critical thinking skills, exhibits professionalism when interacting with others, organization, prioritization and time management skills, excellent interpersonal skills, willingness and ability to learn different software and databases, customer service orientation and commitment to service excellence, team-oriented with ability to work collaboratively and build/maintain professional relationships at all levels, strong detail orientation with high degree of accuracy.
• PREFERRED: Three or more years work experience with public and/or private insurance benefit coordination, experience in a human services agency, experience in a community health center, experience in a medical environment, including patient registration and use of medical terminology, advanced knowledge of third-party payers and associated regulations, knowledge of local entitlement programs, bilingual, verbal, and written language proficiency.