Insurance Enrollment Specialist/PSR at Providence Community Health in Providence, Rhode Island

Job Description:

Providence Community Health

Insurance Enrollment Specialist/PSR
Employee - Full Time
Indiv Contrib-Union
Providence, RI, US

This is a dual role position-- Staff in this role will function as an Insurance Enrollment Specialist and PSR. Individual will be available to work on a one-on-one basis with families and individuals to provide information regarding the RI Health Insurance Exchange, the qualified health plans (QHPs) and publically funded insurance, explain the options available, and directly assist with the application/enrollment process through the Exchange portal. Insurance Enrollment Specialist will work to ensure all individuals have access to health insurance coverage provided as a result of the Affordable Care Act (ACA).

Duties & Responsibilities:

Insurance Enrollment Specialist

• Insurance Enrollment Specialist will provide information to consumers regarding the ACA as it relates to the health insurance coverage options for Rhode Islanders. This information includes:
• Program eligibility: rules to purchase subsidized insurance through the Exchange and eligibility for Medicaid, Medicare or other programs.
• Methods of purchase: provide information concerning enrollment in QHPs, premium tax credits, and cost-sharing reductions.
• Explaining definitions of health insurance terms, for example, aiding the consumer to understand the difference between a premium, deductible and co-insurance.
• Answering enrollment questions and addressing questions regarding access to any of the enrollment methods and the submission of enrollment documentation to the Exchange.

PSR

• Greets, interviews, registers, and exits patient. Verifies identity and financial information for scheduled patients. Completes all required fields of information in the automated practice management system. This pertains to any specialty clinics located at that site, as well.
• Provides coverage support to the clinic’s call center when needed.
• Schedules patients in daily provider schedules. Maintains physician appointment schedules within guidelines.

Education:

• Associate’s degree preferred. High School diplomas or equivalent required. A combination of education, experience, and marketing will be considered. 2-3 years working in a health setting, preferred.

PCHC is EOE/M/F/D/V/SO

Monday, Wednesday, Friday 8-5 and Tuesdays 11-8 with an hour lunch

PI241400813

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