Patient Helper / Enrollment Coordinator - Queens, NY

Job Description

Job Description

Patient Helper / Enrollment Coordinator

Cohen Children’s Medical Center, Queens, NY

ChasmTeam is partnering with Patient Funding Alternatives - a growing national company, to build a team that provides real benefits to patients! We are seeking hard working, self starters who enjoy a challenge as we work together to help patients.

The Enrollment Coordinator is responsible for enrollment of eligible hospital patients into the Third Party Health Insurance Premium Payment Program (THIP) at Cohen Children’s Medical Center (269-01 76th Avenue, Queens, NY 11040). The Enrollment Coordinator is responsible for all aspects of clearly presenting program requirements to interested patients and families as well as serving as a patient advocate. The Patient Helper Program helps high cost and medically complex Medicaid beneficiaries afford the cost of employer-sponsored health insurance utilizing this added Medicaid benefit.

We are seeking dedicated, hard-working individuals who have a passion to help patients as well as expand our rapidly growing company. Candidates must possess a "can do" attitude, have proven persuasive skills, understand the healthcare industry and have demonstrated grit and resiliency in prior roles.

This unique position has several facets:

Patient Engagement

• Educate patients in a clear and concise manner about the Third Party Health Insurance Premium Payment Program (THIP).
• Assess each patient’s family dynamics and determine the best method to meet and educate the family on THIP.
• Successfully initiate case documentation by obtaining patient/family signatures for appropriate authorization and compiling required documentation.

Third Party Health Insurance Premium Payment Program

• Accurately and efficiently obtain all information required to apply to THIP such as employer name, phone number and point of contact.
• Using problem solving skills, implement solutions for all issues that arise to ensure accurate information is provided in a timely manner to THIP.
• Work with the internal PFA team to ensure that THIP applications can be accurately completed

THIP Maintenance and Coordination of Benefits

• Explain to patient how the employer’s health insurance plan coordinates with Medicaid.
• Confirm a patient’s ongoing THIP eligibility following enrollment of the patient in HIPP and gather necessary information to maintain enrollment in THIP.
• If requested by client, assist in resolution of any issues concerning health insurance benefits.

Technology

• Work with the PFA’s proprietary software system that manages referrals and patients in the hospital(s)
• Upload, scan, and fax/email internal and external forms
• Utilize an Apple I-pad & Apple I-phone for enrollment processing in locations including inpatient rooms and clinic/physician offices.

Client Coordination

• Create a positive patient/client relationship and serve as the onsite contact of PFA.
• Develop and maintain relationships with patients, key hospital personnel and other appropriate individuals.

Job Requirements

• Bachelor's degree in Business, Marketing, Nursing, Education, or Psychology required. Master’s degree is preferred.
• Preferred five years of internal patient-related, hospital experience.
• Must be positive, enthusiastic, have a can-do attitude and enjoy working with a variety of people
• Demonstrated history of success in sales and healthcare is strongly preferred.
• Ability to speak English as well as Spanish is preferred.
• Must pass hospital credentialing including all vaccines, drug & alcohol testing

Skills/Attributes

• Energetic, ambitious, hard-working, able to handle different situations each day while working independently
• Resilient; able to deal with sales rejection and still have a positive outlook
• Exceptional oral and written communications skills and demonstrated ability to enthusiastically and persuasively present program materials to patients and their families
• Demonstrated ability to effectively and efficiently collect and input information with attention to detail
• Ability to show compassion to a marginalized population
• Strong understanding of data security and patient confidentiality issues
• Proven ability to quickly gain credibility, secure influence and partner with key constituencies (such as hospital administrators and patient advocates)
• Tenacious ability to overcome obstacles and multitask to achieve success
• Proven ability to maintain quality relationships with patients and their families and deescalate situations with empathy and understanding
• Demonstrated ability to effectively advocate for the patient when encountering inquiries from the employer or its insurance broker
• Exceptional interpersonal skills to form and maintain important relationships with key hospital personnel, staff of the state agency, and other persons as appropriate
• Strong understanding of the healthcare industry, including Medicaid

Job Type: Full-time (40 hours per week) including medical & dental insurance

Salary: $50,000+/year based on experience plus $4,000+/year bonus potential