Community Health Worker
Job ID: R0024899 | Health Services Administrative | Full time | Charlottesville, VA
The Insurance Coordinator acts as the lead for ACA Open Enrollment annually, is the point person for Special ACA Enrollment and the lead for Medicaid enrollments throughout the year. He or she leads the team of CAC's (temps or case managers) with required training/certification renewal and preparation for open enrollment, scheduling appointments, and meeting with clients for enrollment and follow up, and communicates enrollment information to VDH during open enrollment.

Key Duties:
  • Meet with clients as requested by providers to assist with insurance/med access needs and monitor EPIC schedule daily for those patients with no insurance to ensure appropriate insurance for patients and accurate billing for clinic.
  • Work with Virginia Department of Health (VDH) to ensure MPAP premium payments are made and work with VDH for accurate date sharing process.
  • Obtain pharmacy information list for ACA/ Medicaid Insurance companies, and work with VA MAP and NMCM VA MAP contact to ensure VA MAP paperwork in complete and active.
  • Obtain Ramsell card for HIMPA, ICAP and MPAP participates. Maintain a spreadsheet of clinic Medicaid clients and work to help patients with Medicaid annual reviews to prevent gaps in coverage.
  • Keep spreadsheet of clinic ACA clients, do account tune ups mid-year for accuracy and to ensure readiness for open enrollment.
  • Direct Medicare eligible clients to appropriate resources for enrollment and assist Medicare Part D clients to prevent gaps in coverage.
  • Attend annual Benefits training through ACE, The Marketplace, and MAAETC, assist ACA clients to report changes, follow up on outstanding documents that need to be completed by clients for Marketplace enrollment and Medicaid application, and work with patients to resolve issues with insurance, including medication access issues, gaps in care.
  • Work with clients to submit PFS annually as necessary to ensure RW is payer of last resort.

The selected candidate will be required to complete a background check at time of offer per University Policy.

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Charlottesville, VA
Charlottesville, VA 22908

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Quality of Life

Charlottesville, Virginia is one of the nation’s most charming and picturesque places to live and work. Our area boasts many excellent restaurants, wineries and craft breweries; historic sites; Shenandoah National Park and Skyline Drive; and a great selection of homes in welcoming neighborhoods, as well as urban and rural locations. Public transportation is excellent, and you’re just a short drive from the beach or Washington, D.C.