The Nassau-Suffolk Hospital Council based in Hauppauge, NY, is seeking a full-time Medicaid and Medicare Facilitated Enroller. Reporting to the Reporting to the Program Director, Health Insurance Programs, the position holder will be responsible for providing application assistance to special populations for enrollment into government sponsored health insurance programs throughout Nassau and Suffolk Counties. They will also assess the healthcare needs of the applicant and identify the program that best fits their needs and acquire the proper documentation that will best support their application. They will also be responsible in instructing clients about the enrollment process, health insurance, and how to utilize their coverage.

This is a grant-funded position, with the possibility of renewal yearly. The salary range for this position is between $55,000.00 and $61,000.00 annually,

Key responsibilities include but are not limited to:

• Upon hire attend a mandatory company-paid 15-hour online certification training with the NY State Department of Health; complete course requirements and pass all certification tests to become a registered and certified CAC (Consumer Assistance Counselor) with the NY State of Health Marketplace.

• Maintain certification as a NY State of Health CAC by attending all NYS mandatory webinar training sessions during the months of July through October every year; total of approximately 25 hours of company-paid online training each year; failure to complete training within the time-frame will result in loss of NYS certification; if there is a loss of certification, you will be required to re-take the mandatory, company-paid 15-hour certification training with NY State Department of Health and complete course requirements, which includes passing all certification tests.

• Attend training provided by Nassau-Suffolk Hospital Council to remain knowledgeable and current with all state and local rules and requirements of the following programs: Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home. Additional trainings regarding the Medicare Telephone Assistant program will also be provided, including an overview of the Medicare program.

• Provide application assistance to special populations for enrollment into government sponsored health insurance programs throughout Nassau and Suffolk counties for the following programs: Medicaid, Medicaid Buy-In for Working People with Disabilities (MBI-WPD), Medicaid Spend-down, Medicare Savings (MSP), and Medicaid for Institutional Care in a Nursing Home.

• Assess the healthcare needs of the applicant and identify the program that best fits their needs; acquire the proper documentation that will best support their application.

• Interact with applicants at assigned sites in the community, office, and by phone; work independently at these site locations; schedule follow-up appointments with applicants as needed; arrive on-time to all sites to set up and be ready to enroll at time session begins.

• Instruct eligible applicants about Medicaid managed care and how to access benefits in a managed care environment; provide applicants with information about their right to appeal their eligibility decisions to the local departments of social services; provide them with documentation to help support their appeal.

• Maintain data of all applications started in the internal data tracking system of NSHC; monitor applications until completion; provide case notes on a regular basis to document all work performed on the case.

• Monitor all applications started and submit within the required timeframes; late submissions will result in coverage being delayed and/or denied for an applicant.

• Process and complete a minimum of 25 paper applications per month for aged, blind, and disabled populations, and their families.

• Process and complete a minimum of 30 applications in the NYSOH online marketplace for all populations, including those being transitioned from the local DSS office (paper applications) to the NYSOH (online applications).

• Provide outreach as assigned to increase overall enrollment that will help all staff meet grant productivity deliverables (i.e., postcard campaigns, letter writing, staff occasional health fairs, document your outreach and assistance work using the CHA forms – 10 per month)

• Maintain confidentiality of information contained in the application packet for government sponsored health insurance programs, as well as information contained in supporting documentation; secure all applications and documents in locked cabinets and safeguard keys; HIPAA and yearly internal information security training sessions must be attended, and protocols must be followed as specified by HANYS.

Qualifications
• Bachelor’s degree with prior experience in public health insurance preferred; High school diploma or GED with one year’s experience in human services required. An equivalent combination of education and experience sufficient to satisfactorily perform the duties of the job may be substituted.
• Bi-lingual in English and Spanish is preferred.
• Role requires daily travel within Nassau and Suffolk Counties (up to 60% of work time is spent outside of office); reliable transportation is required and the ability to maintain a flexible work schedule of 37.5 hours a week with routine evenings and occasional weekend hours.
• Proficiency in Microsoft Office (Outlook, Word, Excel) and compliance with information security.
• Ability to process and synthesize information and make decisions.
• Ability to communicate succinctly through writing and verbal communication.
• Ability to handle adversity productively and be able to tolerate stressful situations.
• Possess effective time management, organization, and planning skills; be able to meet all deadline requirements.
• Be able to display teamwork, adaptability, reliability, integrity, accountability, and initiative.

We offer the opportunity to work in a dynamic environment that serves the health care industry as well as a competitive salary and an excellent benefits package, including a 401(k) Plan.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status.

Please apply at: https://www.hanys.org/about/careers/