SHIP Medicare Counselor - Remote
YO IT Consulting · United States · 1 wk ago
RemoteRemoteOTHRFull-time
Job Summary We are seeking a dedicated and compassionate SHIP (State Health Insurance Assistance Program) Medicare Counselor to provide free, unbiased, and personalized assistance to Medicare beneficiaries and their families. The counselor will help individuals understand their Medicare rights and options, navigate complex healthcare choices, and enroll in appropriate plans. This role requires a strong understanding of Medicare Parts A, B, C, and D, as well as related programs such as Medicaid, Medigap, and Low-Income Subsidies. The ideal candidate will possess excellent communication skills, empathy, and a commitment to serving the community. Key Responsibilities Provide one-on-one counseling to Medicare beneficiaries, their families, and caregivers regarding Medicare benefits, coverage options, and related health insurance issues.Explain complex Medicare concepts, including Original Medicare, Medicare Advantage plans, Medicare Part D prescription drug plans, and Medicare Supplement (Medigap) policies.Assist beneficiaries with comparing different health and prescription drug plans, understanding enrollment periods, and making informed decisions tailored to their individual needs.Help beneficiaries identify and apply for financial assistance programs such as Medicaid, Medicare Savings Programs (MSPs), and Low-Income Subsidies (LIS).Educate clients on how to appeal denied claims, resolve billing issues, and report potential fraud, waste, and abuse in the Medicare system.Conduct outreach presentations and workshops to community groups, senior centers, and other organizations to raise awareness about Medicare and SHIP services.Maintain accurate and confidential client records, documenting all counseling interactions and follow-up activities in accordance with program guidelines.Stay up-to-date with changes in Medicare laws, regulations, and policies through continuous training and professional development.Collaborate with other community resources and healthcare providers to ensure comprehensive support for beneficiaries.Adhere to all ethical guidelines and confidentiality standards set forth by SHIP and federal regulations.