Join our growing national company as we 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 Patient Helper/Enrollment Coordinator is responsible for enrollment of eligible Hospital Patients into the Medicaid Health Insurance Premium Benefit Program (HIPP) at several Texas Hospitals. The Patient Helper/Enrollment Coordinator is responsible for all aspects of clearly and persuasively presenting program requirements to interested patients and families as well as serving as a patient advocate. Our innovative program helps high cost and medically complex Medicaid patients afford the cost of employer-sponsored health insurance utilizing a State assisted benefit.

This position is also responsible for developing and maintaining relationships with patients, their family members, key hospital staff, and other business professionals. We are seeking dedicated, hardworking 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 sales experience, 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 Health Insurance Premium Payment Program (HIPP) and how they could qualify.
• Organize meetings with patients and their families at the hospital.
• Assess each patient’s family dynamics and determine the best method to meet and educate the family on HIPP.
• Educate patients and their families on the benefits of participating in HIPP, including financial and clinical support.
• Successfully initiate case documentation by obtaining patient/family signatures for appropriate authorization and compiling required documentation.

Health Insurance Premium Payment Program (HIPP)

• Determine if the patient can be enrolled in the employer’s health insurance plan directly or in the case of a child, as a dependent under a family plan.
• Accurately and efficiently obtain all information required to apply to HIPP such as employer name, phone number and point of contact.
• Facilitate the enrollment process by developing a strong working relationship with the hospital's professional staff (e.g. nurses, social workers, or patient advocates).
• Using problem solving skills, implement solutions for all issues that arise to ensure accurate information is provided in a timely manner to HIPP.
• Work with the internal PFA team to ensure that HIPP applications can be accurately completed

HIPP Maintenance and Coordination of Benefits

• Explain to patient how the employer’s health insurance plan coordinates with Medicaid.
• Confirm a patient’s ongoing HIPP eligibility following enrollment of the patient in HIPP and gather necessary information to maintain enrollment in HIPP.
• 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 and utilize EPIC for patient notes.
• Upload, scan, and fax/email internal and external forms within HIPPA guidelines
• Utilize an Apple Macbook & Apple I-phone for enrollment processing remotely and possibly 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.
• Maintain a current list of the names and contact information for key hospital personnel and determine whether staff changes have occurred and apprise supervisor of these changes.

Job Requirements

• Bachelor's degree in Business, Marketing, Nursing, Education, or Psychology 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 essential.  Bilingual English/Spanish.
• 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
• Bilingual (Spanish) experience working with patients telephonically and in person

Job Type

Full-time (40 hours per week) including medical & dental insurance & 401K Program

For more details on this great opportunity, contact careers@insidepfa.com