Health Insurance Navigator

Within the Creighton University School of Dentistry, the Health Insurance Enrollment Specialist will play a key role in screening, enrolling, advocating, and navigating different financial programs on behalf of patients, including, but not limited to, internal programs at the School of Dentistry, State, Local and Federal programs, and particularly the Health Insurance Marketplace Exchanges by assisting uninsured patients about their options in the health insurance marketplace; help determine their eligibility for Medicaid, and assist them with the application process. The Health Insurance Enrollment Specialist will also discuss treatment plans and costs with the patient and help create a payment plan that falls within the set policies of the billing office if necessary. Moreover, The Health Insurance Enrollment Specialist will work collaboratively with all office staff to establish a well-executed financial plan for the patient.

• At all times, employees are expected to uphold Creighton’s core values and demonstrate commitment to valuing diversity and contributing to an inclusive working and learning environment while adhering to all University Ethical Standards of Conduct, rules, regulations, and job requirements, including required educational training.
• Patient outreach and education on health insurance and financial aid opportunities (internal financial programs, Medicaid, Marketplace, etc.).
• Track eligibility status for the determined program, complete renewal process, and provide advocacy with appropriate documentation in Axium and Outreach Database.
• Manage and maintain a caseload of patients, make and coordinate referrals and follow-up appointments following program-specific guidelines
• Maintains accurate record keeping in both patient charts and clinic administrative tools.
• Work with the billing department and patients throughout the revenue cycle (adjustments, payments, corrections, etc.).
• Stay "up to date" on all changes or adjustments in coding and billing procedures.
• Review monthly statements for accuracy and mail or electronically submit them with appropriate notes, following the preset policy for statements.
• Attend workshops, meetings, and/or in-services.
• Other tasks as assigned.

Qualifications:

• High School Diploma. Additional continued education is preferred.
• A degree in Healthcare Administration, Business, or a related field or equivalent work experience is preferred but not required.

Knowledge, Skills, and Abilities:

• Previous experience working with Nebraska Medicaid is preferred.
• Medical office experience – experience in a finance department or equivalent education in a related field of study preferred.
• Excellent organizational skills.
• A foundational understanding of health care billing, reimbursement, insurance, and/or accounting practices, with a willingness to learn new insurance exchange practices.
• Ability to work independently but committed to the team function with minimal supervision.
• Possess high attention to detail and organizational skills; the ability to establish and maintain an appropriate filing system for retrieving needed information.
• Ability to build rapport with diverse populations and backgrounds;
• The ability to relate effectively to providers, patients, and representatives of third-party payers and the ability to work as a "team" member of the medical office staff.
• Ability to create innovative ideas and implement new ideas or processes.
• High comfort level with computer programs, word processing, data management, medical charts, or willingness to learn. 
• Competent in English and Spanish, written and verbal.
• Demonstrate strong written communication, verbal presentation, and public speaking skills.

Licenses/Certifications:

• Previous training or the ability to complete Medicaid training and agency orientation within the first 30 business days
• Counselor Certification through the Health Insurance Marketplace required or ability to complete it within the first 60 days.

 

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AAP/EEO Statement 

Creighton University is committed to providing a safe and non-discriminatory educational and employment environment. The University admits qualified students, hires qualified employees and accepts patients for treatment without regard to race, color, religion, sex, marital status, national origin, age, disability, citizenship, sexual orientation, gender identity, gender expression, veteran status, or other status protected by law. Its education and employment policies, scholarship and loan programs, and other programs and activities, are administered without unlawful discrimination.

 

Disclosure Statement 

This description describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Regular, reliable attendance is an essential function and all employees are required to follow any other job-related instructions and to perform any other job-related duties as requested by their supervisor. Employees may also be required to work in excess of normal working hours as workloads and seasonal activities necessitate. A complete description is available in the Human Resource office located at 701 N 20th St. Omaha, NE. Creighton University reserves the right to modify duties, responsibilities and activities at any time with or without notice.