With the guidance of the Health Insurance Coordinator,, the Health Insurance Specialist is responsible for ASA Health Insurance program screening, eligibility reviews, and intakes with HIV+ individuals seeking premium, copay/coinsurance, and deductible assistance. In addition, the Health Insurance Specialist co-maintains a caseload of clients accessing health insurance assistance only, processing premium payments, assisting with medication co-payments and deductibles, and completing bi-annual eligibility updates.
- Conduct client intakes specific to health insurance premium and/or medication co-payment assistance.
- Maintain caseload of health insurance only clients, providing assistance with insurance premium payments and ongoing medication co-payments/deductibles.
- Conduct chart updates per policy on health insurance clients, and obtain required documentation and verification.
- Maintain documentation and program notes in client records according to departmental standards by utilizing Provide Enterprise client database.
- Assist in determining client eligibility for various ASA services and other community resources; obtain proper HIV status documentation and residency information.
- Conduct client health insurance intake interviews and assessments by using client-centered and systems theory approaches to obtain information relevant to the needs of the client.
- Provide timely and accurate referrals to community AIDS services organizations, hospitals, and other medical providers as appropriate.
- Complete client file updates to ensure thorough and accurate documentation of eligibility information and required health insurance assistance documents.
- Assist in preparing reports for grants and monitoring outcome reports.
- Meet deadlines for time sheets, client documentation, and required grant documents.
- Participate in quality improvement activities as assigned.
- Attend bimonthly department meetings and monthly agency meetings.
- Provide accurate and thorough information, referrals, and resource assistance for callers and walk-ins.
- Maintain current information on all frequently used community resources, as needed.
- Bachelor's degree in social work, psychology, counseling, or related discipline.
- One year of proven experience with psychosocial assessments, mental health, substance abuse, or HIV disease required
- Medical third party billing experience required
Preferred Experience: working with individuals of diverse cultures, ethnicities, socioeconomic backgrounds, sexual orientations, and gender identifications; Bilingual in English and Spanish.
For more information, or to apply now, you must go to the website below. Please DO NOT email your resume to us as we only accept applications through our website.